NICOLE GAGNON

WILLIMANTIC, CT
NPI1578932158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence:   12336)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2015-09-24
Last Update Date2022-08-04
Business Address
NICOLE GAGNON
134 CHURCH ST
WILLIMANTIC, CT 06226-2612
Phone number: 860-450-7130
Mailing Address
NICOLE GAGNON
30 FERNWOOD ST
PLAINFIELD, CT 06374-2109
Phone number: 860-917-0819