Individual
MORETHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(203) 437-2989
Mailing address
488 PERKINS AVE, UNIT 1 APT 9, WATERBURY, CT 06704
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7386
CT
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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