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Individual
MARTHA KOEHLER
Active
Individual
MARTHA KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000328
CT
106H00000X
Marriage & Family Therapist
000079
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000328
CT LCSW LICENSE #
CT
Enumeration date
04/13/2010
Last updated
04/13/2010
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