Marta Southworth Llc | |
41 S Main St Ste 2 West Hartford CT 06107-2448 | |
(860) 348-3776 | |
(860) 650-0042 |
Full Name | Marta Southworth Llc |
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Speciality | Social Worker - Clinical |
Location | 41 S Main St Ste 2, West Hartford, Connecticut |
Authorized Official Name and Position | Marta Southworth (OWNER) |
Authorized Official Contact | 8603053585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marta Southworth Llc 41 S Main St Ste 2 West Hartford CT 06107-2448 Ph: (860) 348-3776 | Marta Southworth Llc 41 S Main St Ste 2 West Hartford CT 06107-2448 Ph: (860) 348-3776 |
NPI Number | 1912551003 |
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Provider Enumeration Date | 07/28/2019 |
Last Update Date | 07/28/2019 |
Identifier | Type | State | Issuer |
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1912551003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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