ELISE B BLACK
Speech and Language Pathologist


Address: 45 Pilgrim Rd, West Hartford, CT 06117-2241

ELISE B BLACK (Credential# 696781) is licensed (Speech and Language Pathologist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ELISE B BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #18.002206. The credential type is speech and language pathologist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 45 Pilgrim Rd, West Hartford, CT 06117-2241. The current status is active.

Basic Information

Licensee Name ELISE B BLACK
Credential ID 696781
Credential Number 18.002206
Credential Type Speech and Language Pathologist
Business Address 45 Pilgrim Rd
West Hartford
CT 06117-2241
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1993-08-04
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-05-01

Office Location

Street Address 45 PILGRIM RD
City WEST HARTFORD
State CT
Zip Code 06117-2241

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John E Hayes IIi 49 Pilgrim Rd, West Hartford, CT 06117-2241 Real Estate Salesperson ~
Friends of Hall Lacrosse 53 Pilgrim Rd, West Hartford, CT 06117-2241 Public Charity-exempt From Financial Requirements 2018-04-13 ~

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Competitor

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City WEST HARTFORD
Zip Code 06117
License Type Speech and Language Pathologist
License Type + County Speech and Language Pathologist + WEST HARTFORD

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Erin A Black 150 Hershey Mill, Mountville, PA 17554 Speech and Language Pathologist 1981-01-01 ~ 1993-10-31
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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