Individual
ANNIKA NICHOLE EDGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LUDLOW RD, WINDSOR, CT 06095-3634
(860) 752-3081
Mailing address
30 LUDLOW RD, WINDSOR, CT 06095-3634
(860) 752-3081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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