Individual
KIMBERLY A GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 GREENWOOD ST, HARTFORD, CT 06106-2110
(718) 506-1115
Mailing address
215 LEFOLL BLVD, SOUTH WINDSOR, CT 06074-4270
(732) 239-3346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010463
CT
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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