Organization
HEATHER HOAGLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOAGLAND LCSW (OWNER AND CLINICIAN)
(203) 912-1933
Entity
Organization
Contact information
Practice address
14 BUSH HILL DR, NIANTIC, CT 06357-1805
(203) 912-1933
Mailing address
567 VAUXHALL STREET EXT, SUITE 207, WATERFORD, CT 06385-4330
(203) 912-1933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009364
CT
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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