Individual
EDWARD MICHAEL REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., M.S.W., LCSW
Contact information
Practice address
251 MAIN ST, 101, OLD SAYBROOK, CT 06475-2357
(860) 388-9656
Mailing address
114 BLACK POINT RD, NIANTIC, CT 06357-2937
(860) 514-7062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007874
CT
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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