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Individual

MS. MARGO FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, LADC, CCDP

Contact information

Practice address
4 WHITNEY STREET EXT, WESTPORT, CT 06880-3768
(203) 521-9241
Mailing address
256 EDISON RD, TRUMBULL, CT 06611-4312
(203) 521-9241

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000950
CT
101YP2500X
Professional Counselor
Primary
001492
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008038038
CT
Enumeration date
01/07/2010
Last updated
12/02/2016
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