Individual
JACQUELYN MAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1275 SUMMER ST STE 306, STAMFORD, CT 06905-5315
(203) 978-5774
(203) 978-5777
Mailing address
1275 SUMMER ST STE 306, STAMFORD, CT 06905-5315
(203) 978-5775
(203) 978-5777
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
3
CT
170300000X
Genetic Counselor (M.S.)
—
—
Other
Enumeration date
09/27/2010
Last updated
03/17/2018
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