Individual
DR. MARA GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMSW
Contact information
Practice address
112 SOUTHFIELD AVE PH 7, STAMFORD, CT 06902-7666
(917) 880-2294
Mailing address
112 SOUTHFIELD AVE PH 7, STAMFORD, CT 06902-7666
(917) 880-2294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW.002144
CT
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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