Individual
ELENA AMPEIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1066 STORRS RD, STORRS, CT 06268-2648
(860) 429-2928
Mailing address
PO BOX 402, MANSFIELD CTR, CT 06250-0402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007117
CT
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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