Individual
NICOLE WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000228
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039244
—
CT
Enumeration date
07/12/2018
Last updated
07/12/2018
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