| Amanda Jelden, Lcsw Llc | |
|
18 Oneco St Suite 3 Norwich CT 06360-3440 | |
| (860) 334-9264 | |
| Not Available |
| Full Name | Amanda Jelden, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18 Oneco St, Norwich, Connecticut |
| Authorized Official Name and Position | Amanda Jelden (CLINICIAN) |
| Authorized Official Contact | 8603349264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jelden, Lcsw Llc 18 Oneco St Suite 3 Norwich CT 06360-3440 Ph: () - | Amanda Jelden, Lcsw Llc 18 Oneco St Suite 3 Norwich CT 06360-3440 Ph: (860) 334-9264 |
| NPI Number | 1972046647 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972046647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 58.009625 (Connecticut) | Primary |
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