Nicole Gagnon

NPI #1578932158 in Willimantic, Connecticut

Provider Information

NPI Number: 1578932158
Entity Type: Individual
Name: Nicole Gagnon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 24, 2015
Last Updated: Aug 4, 2022

Practice Location

Address: 134 CHURCH ST
City: Willimantic
State: Connecticut
ZIP Code: 06226-2612
Phone: (860) 450-7130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Counselor	101Y00000X

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