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MARJORIE FARMER MSW, LICSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1992288161
Individual Registrant: MARJORIE FARMER MSW, LICSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
295 PEQUOT AVE MYSTIC, CT 06355-1739 US
Tel: 617-947-7602 Fax: --
Tel: 617-947-7602 Fax: --
Contact information for business:
295 PEQUOT AVE MYSTIC, CT 06355-1739 US
Tel: 617-947-7602 Fax: --
Tel: 617-947-7602 Fax: --
Registration Information:
NPI: 1992288161
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | MA | 118448 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CT | 009382 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
