Individual
MR. GREGORY MACEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 GEORGE ST, NEW HAVEN, CT 06511-5410
(617) 877-7600
(203) 688-3596
Mailing address
425 GEORGE ST, NEW HAVEN, CT 06511-5410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
06/09/2010
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