Individual
DEMETRIUS ALEXIS RUSCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
809 MAIN ST, EAST HARTFORD, CT 06108-3117
(860) 528-1359
Mailing address
222 MAIN ST APT 410, NEW BRITAIN, CT 06051-5225
(860) 819-4928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5349
CT
Other
Enumeration date
07/20/2021
Last updated
06/03/2023
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