Individual
HARRIET L ELISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
337 VINE ST, EBONY HORSEWOMEN, HARTFORD, CT 06112-2028
(860) 293-2914
Mailing address
54 BROWNLEIGH RD, WEST HARTFORD, CT 06117-1439
(860) 233-0256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000087
CT
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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