Provider Demographics
NPI:1871534123
Name:DILLON, MARGARET L (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:L
Last Name:DILLON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:655 TALCOTTVILLE RD
Mailing Address - Street 2:APT 26
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-2336
Mailing Address - Country:US
Mailing Address - Phone:860-714-2882
Mailing Address - Fax:860-714-8996
Practice Address - Street 1:675 TOWER AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06112-1260
Practice Address - Country:US
Practice Address - Phone:860-714-2750
Practice Address - Fax:860-714-8591
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0053661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical