JUANITA F BLALOCK (Credential# 781939) is licensed (Licensed Clinical Social Worker) 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 APPROVED.
JUANITA F BLALOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.003775. The credential type is licensed clinical social worker. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 79 Todd Hollow Rd, Wolcott, CT 06716-1106. The current status is approved.
| Licensee Name | JUANITA F BLALOCK |
| Credential ID | 781939 |
| Credential Number | 58.003775 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
79 Todd Hollow Rd Wolcott CT 06716-1106 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 1995-12-22 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-06-25 |
| Street Address | 79 TODD HOLLOW RD |
| City | WOLCOTT |
| State | CT |
| Zip Code | 06716-1106 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justine L Cefaretti | 73 Todd Hollow Rd, Wolcott, CT 06716-1106 | Advanced Emergency Medical Technician | 2015-06-03 ~ 2018-04-01 |
| David F Beaudoin | 1 Todd Hollow Rd, Wolcott, CT 06716-1106 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-03 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica Estelle Loureiro | 90 Averyll Ave, Wolcott, CT 06716 | Esthetician | ~ |
| Mary Ann T Scozzafava | 4 Cambridge Drive, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Suzanne M Anderson · Andersen | 112 Potuccos Ring Road, Wolcott, CT 06716 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Wolcott Stove & Camping Ctr | 1623 Wolcott Rd, Wolcott, CT 06716 | Sterilization Permit for Bedding & Upholstered Furniture | 2020-06-25 ~ 2021-04-30 |
| Amanda L Thompson | 1529 Woodtick Road, Wolcott, CT 06716 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Brian Menzies | 11 Longmeadow Drive Extension, Wolcott, CT 06716 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Alayna Jean Freer | 5 Evas Terrace, Wolcott, CT 06716 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Ronald S Jurzyk | 464 Wolcott Road, Wolcott, CT 06716 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Subway #11588 | 654 Wolcott Road, Wolcott, CT 06716 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Susan G Manzolino | 130 Long Meadow Dr, Wolcott, CT 06716 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Find all Licenses in zip 06716 | |||
| City | WOLCOTT |
| Zip Code | 06716 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WOLCOTT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juanita S Moss | 25 Ledyard Rd, West Hartford, CT 06117-1712 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
| Ann S Matthews | Po Box 1362, Millbrook, NY 12545 | Licensed Clinical Social Worker | ~ |
| Jessica L Greenshields | 12 Ovens St, Vic, 3013 | Licensed Clinical Social Worker | ~ |
| Brian G Jin | 15 Ivy Pl, Norwalk, CT 06854-1405 | Licensed Clinical Social Worker | 2020-04-01 ~ 2021-03-31 |
| Pam F Holmes | 62 Carter Rd, Kent, CT 06757 | Licensed Clinical Social Worker | ~ |
| Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Amy V Jaffe | 601 W End Ave, New York, NY 10024-1611 | Licensed Clinical Social Worker | 2015-07-01 ~ 2016-06-30 |
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| 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).