Maritza Bourassa, LCSW
NPI #1326055062 in Groton, Connecticut
Provider Information
- NPI Number
- 1326055062
- Entity Type
- Individual
- Name
- Maritza Bourassa, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 481 GOLD STAR HWY
- Address 2
- SUITE 301
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-6224
- Phone
- (860) 448-9755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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