Individual
ANNMARIE MEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6685
CT
Other
Enumeration date
07/29/2014
Last updated
11/05/2015
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