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Individual

MR. DANIEL PATRICK MCCLURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5 7TH AVE, WATERFORD, CT 06385-1813
(860) 912-8919
Mailing address
5 7TH AVE, WATERFORD, CT 06385-1813
(860) 912-8919

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14190
CT
1041S0200X
School Social Worker
14190
CT

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
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