Individual
MS. JOANNE M CECCARELLI-EGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 COLTON ST, FARMINGTON, CT 06032-2328
(860) 676-1731
(860) 674-9097
Mailing address
11 OLDE POND RD, FARMINGTON, CT 06032-3170
(860) 676-1731
(860) 674-9097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000772
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000772CT
STATE LICENSE
CT
01
—
140000772CT03
BLUE CROSS
CT
01
—
167261
MHN
CT
01
—
P3067653
OXFORD INSURANCE
CT
Enumeration date
10/25/2005
Last updated
07/08/2007
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