Individual
MRS. MARION GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 BEDFORD ST, 2ND FLOOR, STAMFORD, CT 06901-1502
(203) 981-2259
Mailing address
589 BEDFORD ST, 2ND FLOOR, STAMFORD, CT 06901-1502
(203) 981-2259
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001251
CT
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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