Individual
DEBORAH MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004874
CT
1041C0700X
Clinical Social Worker
Primary
4874
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025219
—
CT
01
—
004874
LICENSE
CT
Enumeration date
02/27/2008
Last updated
06/29/2022
Update your record
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