Individual
MS. ELLEN ROUNTREE CALKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
758 BROAD STREET EXT, WATERFORD, CT 06385-1345
(860) 442-6218
(860) 447-2477
Mailing address
758 BROAD STREET EXT, WATERFORD, CT 06385-1345
(860) 442-6218
(860) 447-2477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004179215
—
CT
Enumeration date
02/13/2007
Last updated
05/13/2013
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