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Individual

ERIN WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3401
(860) 358-3403
Mailing address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3401
(860) 358-3403

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08345
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008345
CT LICENSE
CT
Enumeration date
07/16/2013
Last updated
07/16/2013
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