Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003418799 |
---|---|
Provider Name | Megan E Mclaughlin |
First Address | Windsor, CT 06095-1588 |
Second Address | Manchester, CT 06040-3926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2020 |
Last Update Date | 28/10/2021 |