DR. Mary Laura Mcgannon, PH.D

NPI #1386064582 in Essex, Connecticut

Provider Information

NPI Number: 1386064582
Entity Type: Individual
Name: DR. Mary Laura Mcgannon, PH.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: PH.D
Enumeration Date: Apr 27, 2014
Last Updated: Apr 27, 2014

Practice Location

Address: 29 MAIN ST
City: Essex
State: Connecticut
ZIP Code: 06426-1134
Phone: (860) 639-1276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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