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Individual

MARTHA WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
352 STATE ST, NORTH HAVEN, CT 06473-3108
(203) 781-4695
(203) 781-4624
Mailing address
1 LONG WHARF DR, STE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000480
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008038050
CT
Enumeration date
12/12/2011
Last updated
10/06/2015
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