Individual
JESSE ALLAN EDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
223 ADDISON RD STE 303, GLASTONBURY, CT 06033-5612
(959) 245-3018
Mailing address
72 WORTHINGTON POINT RD, BERLIN, CT 06037-4027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
11/03/2025
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