Individual
NICOLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 COVENTRY ST, HARTFORD, CT 06112-1524
(860) 569-5900
Mailing address
800 CONNECTICUT BLVD FL 4, EAST HARTFORD, CT 06108-3239
(860) 569-5900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6667
CT
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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