Individual
MRS. EDITH M PRISLOE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 BAYONET ST, SUITE 202, NEW LONDON, CT 06320-2600
(860) 443-4163
(860) 437-3926
Mailing address
400 BAYONET ST, SUITE 202, NEW LONDON, CT 06320-2600
(860) 443-4163
(860) 437-3926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003358
CT
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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