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Individual

MR. DENNIS ROBERT KIRSCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
86 COLEMAN RD, WETHERSFIELD, CT 06109-3327
(860) 257-0750

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004965
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2190124
CIGNA
Enumeration date
06/17/2006
Last updated
07/08/2007
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