Individual
EDGARDO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3538
(860) 793-4740
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3538
(860) 793-4740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
11/05/2014
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