Andrea Moran LCSW

NPI 1023106028 - Social Worker - 1041C0700X

NPI Details
NPI 1023106028
Gender Female
Enumeration Date 10/11/2006
Last Updated 06/30/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
NEW LONDON CT, 06320-4710, US
Phone (860) 437-6914
Fax (860) 437-6920
Business Location
481 ROUTE 87
COLUMBIA CT, 06237-1413, US
Phone (860) 423-4390
Taxonomy Code 1041C0700X
License State Connecticut
License Number 003370
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According to our database, Andrea Moran LCSW NPI is 1023106028, taxonomy code is 1041C0700X and license number is 003370, license state is located at Connecticut. Andrea Moran LCSW physically located at 41 Fair Harbour Pl, New London CT, 06320-4710. NPI Number Andrea Moran LCSW has the Individual type.

1023106028 NPI number is provided on an as is basis without warranty of any kind. 1023106028 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Moran LCSW are for informational purposes only.