Individual
ANGELA LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008060
CT
Other
Enumeration date
10/20/2010
Last updated
09/20/2012
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