Provider Demographics
NPI:1447317185
Name:AARON, LOIS ILENE (MSW)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ILENE
Last Name:AARON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 S MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2441
Mailing Address - Country:US
Mailing Address - Phone:860-232-7476
Mailing Address - Fax:860-231-7496
Practice Address - Street 1:45 S MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2441
Practice Address - Country:US
Practice Address - Phone:860-232-7476
Practice Address - Fax:860-231-7496
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical