Individual
JANE NEIKIRK EDGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 ELLSWORTH ST, BRIDGEPORT, CT 06605-3124
(917) 838-2535
Mailing address
212 ELLSWORTH ST, BRIDGEPORT, CT 06605-3124
(917) 838-2535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004592
CT
Other
Enumeration date
01/03/2023
Last updated
01/17/2023
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