Individual
ELIZABETH SARA CITRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
142 SCHOOL HOUSE RD, NEWINGTON, CT 06111-4036
(860) 463-4045
Mailing address
142 SCHOOL HOUSE RD, NEWINGTON, CT 06111-4036
(860) 463-4045
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11240
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366633
OTHER
CT
05
—
1366633
—
CT
Enumeration date
11/17/2020
Last updated
11/18/2020
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