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MARJORIE FARMER MSW, LICSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992288161

Individual Registrant:
 MARJORIE  FARMER MSW, LICSW
Gender: F
Sole Proprietor

Location and contact information for practice:
295 PEQUOT AVE  MYSTIC, CT 06355-1739 US
Tel: 617-947-7602  Fax: --

Contact information for business:
295 PEQUOT AVE  MYSTIC, CT 06355-1739 US
Tel: 617-947-7602  Fax: --

Registration Information:
NPI: 1992288161
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MA118448
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT009382

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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