MR. Edwin G Taetsch, LCSW

NPI #1164445581 in New London, Connecticut

Provider Information

NPI Number: 1164445581
Entity Type: Individual
Name: MR. Edwin G Taetsch, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 26, 2006
Last Updated: Dec 13, 2018

Practice Location

Address: 21 MONTAUK AVE
City: New London
State: Connecticut
ZIP Code: 06320-4906
Phone: (860) 439-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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