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Marcus Stallworth, LMSW
NPI 1992103204 · on the registry since 2014 · sole proprietor
Practice
- Address
- 77 Chapman Ave Fl 3
Waterbury, CT 06710 - Phone
- (203) 568-5662
- Organisation at this address
- Stallworth Counseling Services,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
104100000X
101YP2500X - Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut