Individual
JENNIFER ANNE MARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 AVERY ST, MYSTIC, CT 06355-2925
(860) 235-1415
Mailing address
26 AVERY ST, MYSTIC, CT 06355-2925
(860) 235-1415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007084
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007084
LCSW LICENSE #007084
CT
Enumeration date
08/12/2009
Last updated
01/11/2022
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