Individual
MRS. MARTA SOUTHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MSW, LCSW, CBIS
Contact information
Practice address
41 S MAIN ST STE 2, WEST HARTFORD, CT 06107-2448
(860) 305-3585
Mailing address
6 PINECREST DR, PLAINVILLE, CT 06062-3251
(860) 305-3585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8984
CT
Other
Enumeration date
08/31/2010
Last updated
06/11/2019
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