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Individual

MARIETTA A.M. MARQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CIT

Contact information

Practice address
90 FRANKLIN SQ, NEW BRITAIN, CT 06051-2607
(860) 225-3561
(860) 225-2558
Mailing address
853 SLATER RD, NEW BRITAIN, CT 06053-2240
(860) 229-8871

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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