Individual
MR. EDWARD THOMAS CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
270 CENTER STREET 2ND FLOOR, WEST HAVEN MENTAL HEALTH CLINIC, WEST HAVEN, CT 06516
(203) 974-5925
(203) 974-5905
Mailing address
270 CENTER STREET 2ND FLOOR, WEST HAVEN MENTAL HEALTH CLINIC, WEST HAVEN, CT 06516
(203) 974-5925
(203) 974-5905
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006544
CT
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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