Individual
JOHN C MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
205 WAKELEE AVE, ANSONIA, CT 06401-1234
(203) 735-7481
(203) 735-5021
Mailing address
100 YORK ST, NEW HAVEN, CT 06511-5620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001795
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140001795CT01
BLUE CROSS
CT
Enumeration date
09/02/2006
Last updated
07/08/2007
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