Individual
KATE MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 MAIN ST, SOUTH WINDSOR, CT 06074-1005
(860) 918-1880
Mailing address
1512 MAIN ST, SOUTH WINDSOR, CT 06074-1005
(860) 748-5248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
07/03/2014
Last updated
04/12/2021
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