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JANE CAVANAUGH LCSW; ACSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1609008408
Individual Registrant: JANE CAVANAUGH LCSW; ACSW
Gender: F
Sole Proprietor
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: --
Tel: 203-245-1956 Fax: --
Contact information for business:
177 ESSEX ST DEEP RIVER, CT 06417-1946 US
Tel: 860-526-9374 Fax: --
Tel: 860-526-9374 Fax: --
Registration Information:
NPI: 1609008408
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CT | 000998 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
