Courtney Mariita, LCSW
Social Worker, Clinical in Old Saybrook, CT. Individual provider (NPI-1).
NPI number1548097470
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1548097470
- Entity type
- Individual (NPI-1)
- Name
- Courtney Mariita
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13928 | CT | Yes |
Practice location
5 Research PkwyOld Saybrook, CT 06475-4211
Phone 860-510-0163
Mailing address
5 Research PkwyOld Saybrook, CT 06475-4211
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