MR. Kenneth C Gaughran, LMSW

NPI #1184201634 in Patchogue, New York

Provider Information

NPI Number
1184201634
Entity Type
Individual
Name
MR. Kenneth C Gaughran, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Mar 29, 2021
Last Updated
Mar 29, 2021

Practice Location

Address
475 E MAIN ST STE 100
ZIP Code
11772-3121
Phone
(631) 286-8282

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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