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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