Individual
DEBORAH MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
GRIFFIN HOSPITAL, 130 DIVISION STREET, DERBY, CT 06418
(203) 732-7550
(203) 732-1550
Mailing address
GRIFFIN HOSPITAL, 130 DIVISION STREET, DERBY, CT 06418
(203) 732-7550
(203) 732-1550
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
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