Individual
MELANIE C MAGOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15 S ELM ST STE 3, WALLINGFORD, CT 06492-4741
Mailing address
15 S ELM ST STE 3, WALLINGFORD, CT 06492-4741
(203) 640-5375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001925
CT
Other
Enumeration date
08/02/2017
Last updated
07/05/2022
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