Individual
JANE KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 POST RD W, SUITE 102A, WESTPORT, CT 06880-4206
(203) 644-0332
(203) 834-1408
Mailing address
312 CHESTNUT HILL RD, WILTON, CT 06897-3501
(203) 644-0332
(203) 834-1408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009274
CT
Other
Enumeration date
11/15/2012
Last updated
01/31/2017
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