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1417128679
ELISA JULIA THERESA WILSON
WATERTOWN, CT
NPI
1417128679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 006575)
Enumeration Date
2008-03-17
Last Update Date
2011-07-05
Business Address
Mrs. ELISA JULIA THERESA WILSON LCSW
51 DEPOT ST SUITE 209
WATERTOWN, CT 06795-2629
Phone number: 203-347-5271
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Mailing Address
Mrs. ELISA JULIA THERESA WILSON LCSW
51 DEPOT ST SUITE 209
WATERTOWN, CT 06795-2629
Phone number: 203-347-5271
Copy
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