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Individual

ELIZABETH KELLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1491 MAIN ST, WILLIMANTIC, CT 06226-1914
(860) 456-3215
(860) 423-3351
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 697-3351
(860) 731-5522

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
003634
CT

Other

Enumeration date
01/17/2019
Last updated
01/17/2019
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