Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 3138 | CT |
NPI | 1003338542 |
---|---|
Provider Name | Ms. Molly Ann Mccarthy |
First Address | Farmington, CT 06032-3040 |
Second Address | Newington, CT 06111-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2017 |
Last Update Date | 16/06/2018 |