JUSTYNA I ST.ONGE
Licensed Clinical Social Worker


Address: 33 Methyl St, Providence, RI 02906-4901

JUSTYNA I ST.ONGE (Credential# 891052) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2011. The license expiration date date is September 30, 2012. The license status is INACTIVE.

Business Overview

JUSTYNA I ST.ONGE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.007298. The credential type is licensed clinical social worker. The effective date is October 1, 2011. The expiration date is September 30, 2012. The business address is 33 Methyl St, Providence, RI 02906-4901. The current status is inactive.

Basic Information

Licensee Name JUSTYNA I ST.ONGE
Credential ID 891052
Credential Number 58.007298
Credential Type Licensed Clinical Social Worker
Business Address 33 Methyl St
Providence
RI 02906-4901
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-04-29
Effective Date 2011-10-01
Expiration Date 2012-09-30
Refresh Date 2013-01-07

Office Location

Street Address 33 METHYL ST
City PROVIDENCE
State RI
Zip Code 02906-4901

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Molly A Moran 202 Sixth Street, Providence, RI 02906 Advanced Practice Registered Nurse 2020-06-01 ~ 2021-05-31
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Competitor

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City PROVIDENCE
Zip Code 02906
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + PROVIDENCE

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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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