Jane Neikirk Edgell
Social Worker, Clinical in Bridgeport, CT. Individual provider (NPI-1).
NPI number1215640586
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1215640586
- Entity type
- Individual (NPI-1)
- Name
- Jane Neikirk Edgell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004592 | CT | Yes |
Practice location
212 Ellsworth StBridgeport, CT 06605-3124
Phone 917-838-2535
Mailing address
212 Ellsworth StBridgeport, CT 06605-3124
Phone 917-838-2535
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