Individual
MRS. MARY KINNEY MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.M.F.T.
Contact information
Practice address
61 BRADLEY ST, 2ND FLOOR, SUITE 4, BRISTOL, CT 06010-5103
(860) 584-1087
Mailing address
68 MEDFORD ST, BRISTOL, CT 06010-3677
(860) 314-1236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000656
CT
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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