NICOLE GAGNON
Social Worker - Clinical
Active
Individual
NPI: 1578932158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 12336 () |
| Counselor | 101Y00000X | No | - |
Frequently Asked Questions
NPI 1578932158 is the National Provider Identifier for NICOLE GAGNON, a Social Worker - Clinical provider located in Willimantic, CT. This NPI was enumerated on September 24, 2015.
NICOLE GAGNON practices at 134 CHURCH ST, Willimantic, CT 06226.
Quick Facts
- NPI
- 1578932158
- Type
- Individual
- Enumerated
- Sep 24, 2015
- Last Updated
- Aug 4, 2022
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