Individual
STEVEN D GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 DINO RD, BRISTOL, CT 06010-7888
(860) 329-7024
Mailing address
208 DINO RD, BRISTOL, CT 06010-7888
(860) 329-7024
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HCA.0002055
CT
376J00000X
Homemaker
HCA.0002055
CT
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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