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1083164230
ERIC EDGERTON
MANCHESTER, CT
NPI
1083164230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9571)
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- ERIC EDGERTON LCSW
108 PORTER ST
MANCHESTER, CT 06040-5438
Phone number: 860-913-8577
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Mailing Address
-- ERIC EDGERTON LCSW
108 PORTER ST
MANCHESTER, CT 06040-5438
Phone number: 860-913-8577
Copy
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