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Individual

MARTHE MEDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
81 TREMONT ST, HARTFORD, CT 06105-3058
(704) 780-4271
(888) 261-6694
Mailing address
180 THORME ST, BRIDGEPORT, CT 06606-3508
(475) 228-3017

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CT
106S00000X
Behavior Technician
Primary
NC

Other

Enumeration date
06/03/2021
Last updated
06/08/2026
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