License holder summary

SUSAN FORMAN is a Clinical Social Worker licensed to practice in Connecticut. The address on file for SUSAN FORMAN is 46 WHITE FALL LANE, Fairfield, NEW CANAAN, CT, 06840. This licensed professional license is current. The license was granted 09/30/1986 and expired on 07/31/2015.

Connecticut

Department of Consumer Protection

SUSAN FORMAN
Clinical Social Worker
License number
1232
Date granted
09/30/1986
Date expires
07/31/2015
Class
Clinical Social Worker
Status
Active
Address
46 WHITE FALL LANE, Fairfield, NEW CANAAN, CT, 06840
ctlicensing.org
ID 4925688
LAST UPDATED 2024-02-07 19:57:43 UTC

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