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Organization

JO-ELLEN HUBELBANK, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JO-ELLEN HUBELBANK LCSW (PSYCHOTHERAPIST)
(203) 288-0242
Entity
Organization

Contact information

Practice address
114 S MAIN ST, SUITE 28, CHESHIRE, CT 06410-3111
(203) 288-0242
Mailing address
114 S MAIN ST, SUITE 28, CHESHIRE, CT 06410-3111
(203) 288-0242

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004193
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008058177
CT
Enumeration date
04/30/2015
Last updated
08/23/2023
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