Individual
MS. MARTHA PORTER HAESELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC
Contact information
Practice address
950 CAMPBELL AVE, 124, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4791
Mailing address
62 HILLTOP RD, GUILFORD, CT 06437-3221
(203) 453-6468
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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