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Individual

MR. MARC DYLAN GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
Mailing address
271 LOCUST RD, HARWINTON, CT 06791-2412
(203) 233-8444

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12627
CT

Other

Enumeration date
11/20/2023
Last updated
03/10/2026
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