Individual
COURTNEY MARIITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4211
(860) 510-0163
Mailing address
5 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13928
CT
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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