Individual
KIRSTEN DELIA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
91 NORTHWEST DRIVE, PLAINVILLE, CT 06062
(860) 793-3808
Mailing address
711 FARMINGTON AVE, APT A4, WEST HARTFORD, CT 06119-1761
(347) 270-7561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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