Individual
MRS. MICHELLE MACLAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 646-1222
(860) 646-6831
Mailing address
62 WATERGATE LN, PATCHOGUE, NY 11772-3433
(860) 904-8442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CT
Other
Enumeration date
05/18/2011
Last updated
08/26/2020
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