Individual
MRS. PEGGY B. VAN DER SWAAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
214B THAMES ST, GROTON, CT 06340-3632
(860) 449-1382
(860) 449-1384
Mailing address
188 RIVER RD, KILLINGWORTH, CT 06419-2238
(860) 663-2623
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000989
CT
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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