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Individual

ELIZABETH LAUREN COURSEN

Active
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Individual

ELIZABETH LAUREN COURSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3361
CT
103TC0700X
Clinical Psychologist
Primary
022448
NY
163W00000X
Registered Nurse
219348
CT

Other

Enumeration date
07/06/2009
Last updated
07/15/2024
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