ANNA K MARTIN
Licensed Clinical Social Worker


Address: 65 Moody Ave, Fairfield, CT 06825-1924

ANNA K MARTIN (Credential# 1120929) is licensed (Licensed Clinical Social Worker) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.

Business Overview

ANNA K MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #58.008176. The credential type is licensed clinical social worker. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 65 Moody Ave, Fairfield, CT 06825-1924. The current status is active.

Basic Information

Licensee Name ANNA K MARTIN
Credential ID 1120929
Credential Number 58.008176
Credential Type Licensed Clinical Social Worker
Business Address 65 Moody Ave
Fairfield
CT 06825-1924
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-12-12
Effective Date 2019-08-01
Expiration Date 2020-07-31
Refresh Date 2019-08-02

Office Location

Street Address 65 MOODY AVE
City FAIRFIELD
State CT
Zip Code 06825-1924

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Eva I Chiamulera 86 Brookfield Avenue, Fairfield, CT 06825 Landscape Architect 2020-08-01 ~ 2021-07-31
Suzanne P Taluy 558 Villa Ave, Fairfield, CT 06825 Licensed Clinical Social Worker 2020-07-01 ~ 2021-06-30
Benjamin Allan Gott 262 Euclid Avenue, Fairfield, CT 06825 Notary Public Appointment 2020-06-01 ~ 2025-05-31
Charles J Applebaum 841 Stratfield Rd, Fairfield, CT 06825 Dentist 2020-07-01 ~ 2021-06-30
Jeri Kriskey 1179 Merritt Street, Fairfield, CT 06825 Marital and Family Therapist Associate 2020-06-24 ~ 2022-06-24
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Competitor

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City FAIRFIELD
Zip Code 06825
License Type Licensed Clinical Social Worker
License Type + County Licensed Clinical Social Worker + FAIRFIELD

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Anna L Johnson 20 Waterhouse Ln, Chester, CT 06412-1268 Licensed Clinical Social Worker 2019-12-01 ~ 2020-11-30
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Anna J Kemper 1010 Dowling Ct, Leland, NC 28451-9408 Licensed Clinical Social Worker 2012-03-01 ~ 2013-02-28
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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