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Individual

JEANINE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
75 GRANITE ST, NEW LONDON, CT 06320-5730
(860) 437-4550
(860) 437-4552
Mailing address
200 W TOWN ST, NORWICH, CT 06360-2112
(860) 886-1508
(860) 889-4606

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2065
CT
106H00000X
Marriage & Family Therapist

Other

Enumeration date
06/09/2017
Last updated
06/02/2022
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