Individual
KATHERINE IRENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 COPSE RD, MADISON, CT 06443-2323
(203) 245-2778
Mailing address
62 FAWN BROOK CIR, MADISON, CT 06443-2442
(203) 494-5907
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6873
CT
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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