Most Relevant Information
Provider Data
NPI Number: | 1003462532 |
Provider Name: | EDITH A DENNIS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/12/2019 |
Last Updated: | 08/12/2019 |
Provider Practice Location
444 CENTER ST
MANCHESTER
CT
060403926
Practice Location Phone/Fax
Phone: | 8606463888 |
Fax: |
Provider Mailing Location
2 WATERSIDE XING STE 401
WINDSOR
CT
060951587
Provider Mailing Phone/Fax
Phone: | 8607315522 |
Fax: | 8607315536 |