Individual
IAN FRANCIS MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
Mailing address
26 WHEELER RD, WETHERSFIELD, CT 06109-3364
(860) 681-1180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3284
CT
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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