Individual
CAITLIN J.C. MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1679
CT
1041C0700X
Clinical Social Worker
Primary
9738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008060327
—
CT
Enumeration date
11/18/2014
Last updated
02/06/2023
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