Individual
MRS. OLIVIA GLENN MCGUFFOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1201 KINGS HWY STE 2, FAIRFIELD, CT 06824-5319
(203) 807-4174
Mailing address
1201 KINGS HWY STE 2, FAIRFIELD, CT 06824-5319
(203) 807-4174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5596
CT
Other
Enumeration date
03/09/2023
Last updated
07/10/2023
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