Most Relevant Information
Provider Data
| NPI Number: | 1003198896 |
| Provider Name: | MARY M GEORGETTE MA, LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 001440 |
Most Important Dates
| Enumeration Date: | 09/16/2011 |
| Last Updated: | 06/07/2013 |
Provider Practice Location
57 PLAINS RD
SUITE 2C
MILFORD
CT
064612573
Practice Location Phone/Fax
| Phone: | 2035812068 |
| Fax: |
Provider Mailing Location
57 PLAINS RD
SUITE 2C
MILFORD
CT
064612573
Provider Mailing Phone/Fax
| Phone: | 2035812068 |
| Fax: |