Organization
ACT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASANDRA MARBURY (CLINICIAN)
(404) 908-8168
Entity
Organization
Contact information
Practice address
323 W MAIN ST, NEW BRITAIN, CT 06052-1331
(404) 908-8168
Mailing address
404 EAST ST, 1S, NEW BRITAIN, CT 06051-2747
(404) 908-8168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9389
CT
Other
Enumeration date
05/10/2016
Last updated
06/29/2016
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