Individual
MARY MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 BELCREST RD, WEST HARTFORD, CT 06107-3305
(860) 899-4060
Mailing address
49 BELCREST RD, WEST HARTFORD, CT 06107-3305
(860) 899-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3742
CT
101YP2500X
Professional Counselor
Primary
003742
CT
Other
Enumeration date
08/05/2019
Last updated
04/12/2023
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