Paula M Mekkelsen, LCSW
Social Worker, Clinical in Groton, CT. Individual provider (NPI-1).
NPI number1710076419
StatusActive
Last updated in NPPESFeb 23, 2019
Details
- NPI
- 1710076419
- Entity type
- Individual (NPI-1)
- Name
- Paula M Mekkelsen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2006
- Last updated
- Feb 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 002005 | CT | Yes |
Practice location
1057 Poquonnock RdGroton, CT 06340-6630
Phone 860-857-8044 · Fax 860-437-1190
Mailing address
1057 Poquonnock RdGroton, CT 06340-6630
Phone 860-857-8044 · Fax 860-437-1190
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