Organization
KELLY MARINO KELLY MARINO LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A MARINO LCSW (OWNER)
(203) 536-8788
Entity
Organization
Contact information
Practice address
85 OLD LONG RIDGE RD, STAMFORD, CT 06903-1641
(203) 536-8788
Mailing address
85 OLD LONG RIDGE RD, STAMFORD, CT 06903-1641
(203) 536-8788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081517
CT
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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