Individual
MR. EDWIN RENAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW PHD
Contact information
Practice address
205 ORANGE ST, NEW HAVEN, CT 06510-2069
(203) 787-2111
(203) 397-9077
Mailing address
205 ORANGE STREET, ALSO-CORNERSTONE INC, NEW HAVEN, CT 06510-2014
(203) 787-2111
(203) 397-9077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004316
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212148
—
CT
01
—
CTGA000525
DMHAS
CT
Enumeration date
06/05/2008
Last updated
06/05/2008
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