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DEBORAH L ELLSWORTH
OTHER

DEBORAH L ELLSWORTH is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1952542409. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6204073901. The primary specialty is CLINICAL SOCIAL WORKER. The organization is THE HEALTHY MIND PSYCHIATRIC SERVICES PC. The address is 133 SCOVILL ST, SUITE 102, WATERBURY, CT, 67061253. The zip code is 67061253.


Nation Provider ID1952542409
PAC ID by PECOS6204073901
Professional Enrollment IDI20130517000254
NameDEBORAH L ELLSWORTH
Medical School NameOTHER
Graduation Year1990
Primary SpecialtyCLINICAL SOCIAL WORKER
All secondary specialties
Organization NameTHE HEALTHY MIND PSYCHIATRIC SERVICES PC
Group Practice PAC ID4082874672
Number of Group Practice members10
Address133 SCOVILL ST, SUITE 102, WATERBURY, CT, 67061253
Hospital affiliation LBN
Graduation Year1990
Contact Number2032705575
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]