Individual
ELIZABETH ANN MANNARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
Mailing address
1171 GRANT HILL RD, COVENTRY, CT 06238-1159
(860) 709-3585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW.006091
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSW.006091
AETNA
CT
Enumeration date
05/27/2022
Last updated
01/05/2024
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