Individual
MRS. ELIZABETH BOURQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
406 FARMINGTON AVE STE 1, FARMINGTON, CT 06032-1964
(860) 677-3950
(860) 724-4397
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9130
CT
Other
Enumeration date
07/24/2018
Last updated
07/27/2022
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