Most Relevant Information
Provider Data
NPI Number: | 1003184565 |
Provider Name: | MARTHA WRIGHT LADC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | 000480 |
Most Important Dates
Enumeration Date: | 12/12/2011 |
Last Updated: | 10/06/2015 |
Provider Practice Location
352 STATE ST
NORTH HAVEN
CT
064733108
Practice Location Phone/Fax
Phone: | 2037814695 |
Fax: | 2037814624 |
Provider Mailing Location
1 LONG WHARF DR
STE 321
NEW HAVEN
CT
065115991
Provider Mailing Phone/Fax
Phone: | 2037814600 |
Fax: | 2037814624 |