Individual
MS. MARY ANN REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4 SUMMIT RD, PROSPECT, CT 06712-1485
(203) 596-9145
(203) 596-9145
Mailing address
256 FAIRLAWN AVE, WATERBURY, CT 06705-2122
(203) 596-9145
(203) 596-9145
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000160
CT
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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