Organization
DANIELLE MARYOTT LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARYOTT LCSW (CLINICAL SOCIAL WORKER)
(203) 590-1605
Entity
Organization
Contact information
Practice address
755 MAIN ST, BUILDING 8, SUITE B, MONROE, CT 06468-2830
(203) 590-1605
Mailing address
50 DEEPWOOD RD, EASTON, CT 06612-1439
(203) 979-0858
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
009309
CT
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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