WALLACE M STACY (Credential# 1037467) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
WALLACE M STACY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.007936. The credential type is licensed clinical social worker. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 31 Fawn Pl, Wilton, CT 06897-1212. The current status is active.
| Licensee Name | WALLACE M STACY |
| Credential ID | 1037467 |
| Credential Number | 58.007936 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
31 Fawn Pl Wilton CT 06897-1212 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-04-05 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-11-01 |
| Street Address | 31 FAWN PL |
| City | WILTON |
| State | CT |
| Zip Code | 06897-1212 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Adara Case | 14 Middlebrook Farm Rd, Wilton, CT 06897 | Emergency Medical Technician | ~ |
| C B Tart | 105 Seeley Road, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Matthew P Schmitt | 116 Borglum Rd, Wilton, CT 06897 | Home Improvement Contractor | 2020-06-18 ~ 2020-11-30 |
| Music On The Hill Inc | 48 New Canaan Road, Wilton, CT 06897 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Neelam Narula | 11 Glen Ridge, Wilton, CT 06897 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Katherine S Lewis | 43 Antler Lane, Wilton, CT 06897 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Steven Phillips | 944 Danbury Rd, Wilton, CT 06897 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Sally S Chao Md | 48 Saint Johns Rd, Wilton, CT 06897 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Tenore | 150 St Johns Road, Wilton, CT 06897 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Susan Lee | 200 Danbury Road, Apt 5, Wilton, CT 06897 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06897 | |||
| City | WILTON |
| Zip Code | 06897 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + WILTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeffrey A Wallace | Po Box 111, Centerbrook, CT 06409 | Licensed Clinical Social Worker | 1995-04-25 ~ 1996-04-30 |
| Stacy M Propfe | 30 Heritage Ct, Wolcott, CT 06716-2682 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Stacy E Cutler | 64 Main St, Ivoryton, CT 06442-1004 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Stacy L Hankey | 19 Scott Rd, Prospect, CT 06712-1331 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Valerie Wallace | 2 Crampton Rd, Bronxville, NY 10708-4907 | Licensed Clinical Social Worker | 2020-02-01 ~ 2021-01-31 |
| Diana R. P. Wallace | 135 Garfield Pl Apt 526, Cincinnati, OH 45202-5739 | Licensed Clinical Social Worker | 2011-11-01 ~ 2012-10-31 |
| Sylvester D Wallace | 3982 Fireoak Dr, Decatur, GA 30032-3884 | Licensed Clinical Social Worker | ~ |
| Stacy L Murphy | 379 Pine Tree Dr, Orange, CT 06477-2837 | Licensed Clinical Social Worker | 2019-11-01 ~ 2020-10-31 |
| Stacy M Demarco | 59 Knoll Ridge Ct, Middletown, CT 06457-2145 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Mary E Stacy | 1 Kinsman Lane, Greenwich, CT 06830 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
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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).