Individual
LISA M. KLEVENOW-MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.MFT
Contact information
Practice address
591 POQUONNOCK RD, GROTON, CT 06340-4571
(860) 437-4550
Mailing address
PO BOX 120, NEW LONDON, CT 06320-0120
(860) 437-4550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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