Individual
KATHRYN MCGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 BUELL ST, NORTH HAVEN, CT 06473-4311
(870) 355-1301
Mailing address
54 BUELL ST, NORTH HAVEN, CT 06473-4311
(870) 355-1301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008734
CT
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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