Individual
KIMBERLY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 HOLLY HILL LN STE 300, GREENWICH, CT 06830-2918
(203) 900-7495
Mailing address
429 JENNINGS RD, FAIRFIELD, CT 06824-4704
(215) 350-1546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
012169
CT
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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