Individual
ELAINE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
47 PALOMBA DR, ENFIELD, CT 06082-3868
(860) 253-5020
(860) 253-5030
Mailing address
107 STRONG RD, SOUTHAMPTON, MA 01073-9535
(413) 527-1561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004116
CT
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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