Marissa Lynn Stafford, LMSW
NPI #1730451683 in Weatogue, Connecticut
Provider Information
- NPI Number
- 1730451683
- Entity Type
- Individual
- Name
- Marissa Lynn Stafford, LMSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LMSW
- Enumeration Date
- Feb 7, 2012
- Last Updated
- Mar 11, 2016
Practice Location
- Address
- 121 OLD CANAL WAY
- City
- Weatogue
- State
- Connecticut
- ZIP Code
- 06089-9688
- Phone
- (860) 866-7687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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