Edgardo Jimenez

NPI #1649520602 in Plainville, Connecticut

Provider Information

NPI Number: 1649520602
Entity Type: Individual
Name: Edgardo Jimenez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 17, 2012
Last Updated: Nov 5, 2014

Practice Location

Address: 91 NORTHWEST DR
City: Plainville
State: Connecticut
ZIP Code: 06062-1534
Phone: (860) 793-3538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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