TERRI LEE WALLER (Credential# 783784) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
TERRI LEE WALLER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005627. The credential type is licensed clinical social worker. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 926 Quinnipiac Ave Apt 5, New Haven, CT 06513-3349. The current status is active.
| Licensee Name | TERRI LEE WALLER |
| Credential ID | 783784 |
| Credential Number | 58.005627 |
| Credential Type | Licensed Clinical Social Worker |
| Business Address |
926 Quinnipiac Ave Apt 5 New Haven CT 06513-3349 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-02 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-06-03 |
| Street Address | 926 QUINNIPIAC AVE APT 5 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-3349 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael E Tom | 926 Quinnipiac Ave Apt 9, New Haven, CT 06513-3349 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Odalys Guartan | 17 Dell Dr, East Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-06-30 |
| Marilu E Espinsa | 148 Poplar St, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Javon Christian Woodard | 404 Poplar St, New Haven, CT 06513 | Registered Nurse | ~ |
| Norma Congacha | 22 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-05-31 |
| Sonia Sunanita Salazar | 48 Wolcott St 1 L., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Rosa Zuna | 426 Ferry St. 1st Fl, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Veronica Congacha | 28 Farren Ave., New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jessica L Vallejo | 41 Oak Ridge Dr, New Haven, CT 06513 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Ami Nosenzo · Nosenzo | 1423 Quinnipiac Ave, New Haven, CT 06513 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Taquetta Delis Mitchell | 40 Foxon Hill Rd I34, New Haven, CT 06513 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06513 | |||
| City | NEW HAVEN |
| Zip Code | 06513 |
| License Type | Licensed Clinical Social Worker |
| License Type + County | Licensed Clinical Social Worker + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terri L Stanco · Terri Marshall | Po Box 917, Southbury, CT 06488-0917 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Danielle C Kovac | 41 Waller St Unit 115, San Francisco, CA 94102-6285 | Licensed Clinical Social Worker | 2019-09-01 ~ 2020-08-31 |
| Terri B Brown · Buchanan | 595 Mapleton Avenue, Suffield, CT 06078 | Licensed Clinical Social Worker | 2019-12-01 ~ 2020-11-30 |
| Rondey A Allen | Crosspoint Clinical Services, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
| Tameka J Kelley | CT | Licensed Clinical Social Worker | ~ |
| Stacey Waller | 43 Woodland Street, Hartford, CT 06105 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
| Laurie L Mcintosh | Po Box 603, Riverton, WY 82501-0080 | Licensed Clinical Social Worker | ~ |
| Amy Roe | 42 School St, New London, CT 06320-4611 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Wei Lin Lim | 9 Serangoon Ave 2, Singapore, SG 556134 | Licensed Clinical Social Worker | 2015-05-01 ~ 2016-04-30 |
| Elizabeth S Messer | Psc 482 Box 198, Fpo, 96362 | Licensed Clinical Social Worker | 2002-02-22 ~ 2003-02-28 |
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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).