ERNESTINE M BOUCHARD
Licensed Clinical Social Worker


Address: 22 River Camp Drive, Newington, CT 06111-1837

ERNESTINE M BOUCHARD (Credential# 779910) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is December 19, 2008. The license expiration date date is January 31, 2010. The license status is INACTIVE.

Business Overview

ERNESTINE M BOUCHARD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.001669. The credential type is licensed clinical social worker. The effective date is December 19, 2008. The expiration date is January 31, 2010. The business address is 22 River Camp Drive, Newington, CT 06111-1837. The current status is inactive.

Basic Information

Licensee Name ERNESTINE M BOUCHARD
Credential ID 779910
Credential Number 58.001669
Credential Type Licensed Clinical Social Worker
Business Address 22 River Camp Drive
Newington
CT 06111-1837
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-10-01
Effective Date 2008-12-19
Expiration Date 2010-01-31
Refresh Date 2010-05-25

Office Location

Street Address 22 River Camp Drive
City Newington
State CT
Zip Code 06111-1837

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Licensee Name Office Address Credential Effective / Expiration
Susan P Oakes 84 River Camp Dr, Newington, CT 06111-1837 Licensed Practical Nurse 2019-09-01 ~ 2020-08-31
Paige S Corral 34 River Camp Dr, Newington, CT 06111-1837 Registered Nurse 2019-11-01 ~ 2020-10-31

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Competitor

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City Newington
Zip Code 06111
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + Newington

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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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