Individual
ELIZABETH I JUCEVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
412 W AVON RD, AVON, CT 06001-2500
(860) 485-5459
Mailing address
PO BOX 1774, TORRINGTON, CT 06790-1774
(860) 485-5459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
008741
CT
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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