Individual
DR. MARY LAURA MCGANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
29 MAIN ST, ESSEX, CT 06426-1134
(860) 639-1276
Mailing address
390 DARLING RD, SALEM, CT 06420-3913
(860) 639-1276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000176
CT
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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