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JANE CAVANAUGH LCSW; ACSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1609008408

Individual Registrant:
 JANE  CAVANAUGH LCSW; ACSW
Gender: F
Sole Proprietor

Location and contact information for practice:
149 DURHAM RD SUITE 31 MADISON, CT 06443-2677 US
Tel: 203-245-1956  Fax: --

Contact information for business:
177 ESSEX ST  DEEP RIVER, CT 06417-1946 US
Tel: 860-526-9374  Fax: --

Registration Information:
NPI: 1609008408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CT000998

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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