Individual
ERIN BANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 GRAND AVE, NEW HAVEN, CT 06513-3856
(203) 641-3257
Mailing address
458 GRAND AVE, NEW HAVEN, CT 06513-3856
(203) 641-3257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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