MR. Walter Stephen Iwanicki, MSW
NPI #1326107780 in Waterford, Connecticut
Provider Information
- NPI Number
- 1326107780
- Entity Type
- Individual
- Name
- MR. Walter Stephen Iwanicki, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 567 VAUXHALL STREET EXT
- Address 2
- STE.326
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-4330
- Phone
- (860) 443-0676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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