Individual
DR. MARGO DENISE MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
970 FARMINGTON AVE, SUITE 301, WEST HARTFORD, CT 06107-2139
(860) 313-4431
(860) 313-4437
Mailing address
970 FARMINGTON AVENUE, SUITE 301, WEST HARTFORD, CT 06107
(860) 313-4431
(860) 313-4437
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001264
CT
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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