Most Relevant Information
Provider Data
| NPI Number: | 1003457904 |
| Provider Name: | JAMIE A UDEH MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ISW5490 |
Most Important Dates
| Enumeration Date: | 10/01/2019 |
| Last Updated: | 10/01/2019 |
Provider Practice Location
998 FARMINGTON AVE STE 201
WEST HARTFORD
CT
061072187
Practice Location Phone/Fax
| Phone: | 8609529070 |
| Fax: |
Provider Mailing Location
204 SCOTT DR
MANCHESTER
CT
060424200
Provider Mailing Phone/Fax
| Phone: | 7869729981 |
| Fax: |