WALTER STEPHEN IWANICKI

WATERFORD, CT
NPI1326107780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CT  000510)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
MR. WALTER STEPHEN IWANICKI MSW
567 VAUXHALL STREET EXT STE.326
WATERFORD, CT 06385-4330
Phone number: 860-443-0676
Mailing Address
MR. WALTER STEPHEN IWANICKI MSW
5 MEADOW DR
WATERFORD, CT 06385-4343
Phone number: 860-442-3858
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