Organization
SHAUNE MARTIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNE MARTIN LCSW, LICSW (OWNER)
(860) 245-8548
Entity
Organization
Contact information
Practice address
43 W BROAD ST UNIT 1, PAWCATUCK, CT 06379-4307
(860) 245-8548
Mailing address
43 W BROAD ST UNIT 1, PAWCATUCK, CT 06379-4307
(860) 245-8548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
12/19/2022
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