Individual
MR. EDWARD MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
618 WEST AVE, NORWALK, CT 06850-4068
(203) 852-9525
(203) 854-0371
Mailing address
618 WEST AVE, NORWALK, CT 06850-4068
(203) 852-9525
(203) 854-0371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005850
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004172912
—
CT
05
—
004172920
—
CT
Enumeration date
06/30/2006
Last updated
04/29/2024
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