Individual
ASHLEY SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
676 HEBRON AVE STE 1, GLASTONBURY, CT 06033-2410
(860) 692-2250
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10736
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10736
CT LICENSE
CT
Enumeration date
11/19/2010
Last updated
09/20/2019
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