| Doctor Name: | ANDREA MORAN |
| NPI Number: | 1023106028 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 003370 |
| Business Practice Address: | 41 Fair Harbour Pl New London, CT - 063204710 |
| Business Phone Number: | 8604376914 |
| Business Fax Number: | 8604376920 |
| Mailing Address: | 481 Route 87, COLUMBIA |
| State: | CT |
| Postal Code: | 062371413 |
| Phone Number: | 8604234390 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 06/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 003370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |