Individual
ELIZABETH JANE STAAK HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 EAST AVE, 2ND FLOOR, NORWALK, CT 06851-5703
(203) 750-9711
(203) 750-9651
Mailing address
120 EAST AVE, 2ND FLOOR, NORWALK, CT 06851-5703
(203) 750-9711
(203) 750-9651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005461
CT
1041C0700X
Clinical Social Worker
Primary
005461
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003511
—
CT
Enumeration date
03/23/2007
Last updated
03/12/2012
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