Individual
MRS. KATELYN VAUGHAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2800 MAIN ST, GLASTONBURY, CT 06033-1091
(860) 430-1340
Mailing address
2800 MAIN ST, GLASTONBURY, CT 06033-1091
(860) 430-1340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009237
CT
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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