JESSICA L MACHO BOTHWELL
Licensed Clinical Social Worker


Address: 123 Hoyt St, Stamford, CT 06905-5703

JESSICA L MACHO BOTHWELL (Credential# 784121) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.

Business Overview

JESSICA L MACHO BOTHWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.005965. The credential type is licensed clinical social worker. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 123 Hoyt St, Stamford, CT 06905-5703. The current status is active.

Basic Information

Licensee Name JESSICA L MACHO BOTHWELL
Credential ID 784121
Credential Number 58.005965
Credential Type Licensed Clinical Social Worker
Business Address 123 Hoyt St
Stamford
CT 06905-5703
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2005-06-21
Effective Date 2019-10-01
Expiration Date 2020-09-30
Refresh Date 2019-10-01

Office Location

Street Address 123 HOYT ST
City STAMFORD
State CT
Zip Code 06905-5703

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Simona Cipriani 163 Hoyt St, Stamford, CT 06905-5703 Massage Therapist 2016-04-01 ~ 2018-03-31
Renee Haye-peart 95 Hoyt St Apt 2a, Stamford, CT 06905-5703 Registered Nurse 2010-01-01 ~ 2010-12-31

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Competitor

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City STAMFORD
Zip Code 06905
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + STAMFORD

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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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