| Nina Martin, Lcsw | |
|
847 W Main St Suite 3 Branford CT 06405-3455 | |
| (203) 208-2911 | |
| Not Available |
| Full Name | Nina Martin, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 847 W Main St, Branford, Connecticut |
| Authorized Official Name and Position | Nina Martin (OWNER) |
| Authorized Official Contact | 2032082911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Martin, Lcsw 847 W Main St Suite 3 Branford CT 06405-3455 Ph: (203) 208-2911 | Nina Martin, Lcsw 847 W Main St Suite 3 Branford CT 06405-3455 Ph: (203) 208-2911 |
| NPI Number | 1609325612 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609325612 | NPI | - | NPPES |
| 1041C0700X | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004435 (Connecticut) | Primary |
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