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Individual

JUSTIN MAROTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
310 COURT ST STE 103, PLYMOUTH, MA 02360-4372
(781) 985-4130
Mailing address
310 COURT ST STE 103, PLYMOUTH, MA 02360-4372

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2339082
MA

Other

Enumeration date
09/20/2017
Last updated
03/19/2024
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