SUSAN T GERVAIS
Licensed Clinical Social Worker


Address: 9 Washington Ridge Rd., East Granby, CT 06026

SUSAN T GERVAIS (Credential# 783029) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2018. The license expiration date date is November 30, 2019. The license status is INACTIVE.

Business Overview

SUSAN T GERVAIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.004872. The credential type is licensed clinical social worker. The effective date is December 1, 2018. The expiration date is November 30, 2019. The business address is 9 Washington Ridge Rd., East Granby, CT 06026. The current status is inactive.

Basic Information

Licensee Name SUSAN T GERVAIS
Credential ID 783029
Credential Number 58.004872
Credential Type Licensed Clinical Social Worker
Business Address 9 Washington Ridge Rd.
East Granby
CT 06026
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-12-08
Effective Date 2018-12-01
Expiration Date 2019-11-30
Refresh Date 2020-03-04

Other licenses

ID Credential Code Credential Type Issue Term Status
429009 RES.0781182 REAL ESTATE SALESPERSON 2006-06-27 2006-06-27 - 2007-05-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Susan T Gervais 9 Washington Ridge Road, East Granby, CT 06026 Notary Public Appointment 2005-04-01 ~ 2010-03-31

Office Location

Street Address 9 Washington Ridge Rd.
City East Granby
State CT
Zip Code 06026

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Patricia A Moon 32 Brighton Drive, East Granby, CT 06026 Dental Hygienist 2020-08-01 ~ 2021-07-31
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Competitor

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City East Granby
Zip Code 06026
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + East Granby

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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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