| Kelly Marino Kelly Marino Lcsw | |
|
85 Old Long Ridge Rd Stamford CT 06903-1641 | |
| (203) 536-8788 | |
| Not Available |
| Full Name | Kelly Marino Kelly Marino Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 85 Old Long Ridge Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Kelly A Marino (OWNER) |
| Authorized Official Contact | 2035368788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Marino Kelly Marino Lcsw 85 Old Long Ridge Rd Stamford CT 06903-1641 Ph: (203) 536-8788 | Kelly Marino Kelly Marino Lcsw 85 Old Long Ridge Rd Stamford CT 06903-1641 Ph: (203) 536-8788 |
| NPI Number | 1851775159 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851775159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 081517 (Connecticut) | Primary |
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