Individual
MISS MADISON MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 270-4335
Mailing address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 270-4335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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