Individual
JOAN ELISE FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 MAIN ST, MYSTIC, CT 06355-3654
(860) 303-6979
Mailing address
11 MAIN ST, MYSTIC, CT 06355-3654
(860) 717-2007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009757
CT
Other
Enumeration date
04/19/2017
Last updated
05/01/2020
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