Individual
EDDA H MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
567 VAUXHALL STREET EXT, STE 314, WATERFORD, CT 06385-4330
(860) 334-9063
(860) 381-5099
Mailing address
567 VAUXHALL STREET EXT, STE 314, WATERFORD, CT 06385-4330
(860) 334-9063
(860) 381-5099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007169
CT
Other
Enumeration date
10/27/2009
Last updated
01/21/2013
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