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Organization

ANITA WEICHT, LCSW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANITA CATHERINE WEICHT LCSW (CLINICAL SOCIAL WORKER)
(203) 239-1422
Entity
Organization

Contact information

Practice address
300 CHURCH ST RT 68, YALESVILLE, CT 06492
(203) 265-7770
(203) 239-1422
Mailing address
91 POOL ROAD, NORTH HAVEN, CT 06473
(203) 265-7770
(203) 239-1422

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004245
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004243010
CT
Enumeration date
08/22/2006
Last updated
07/21/2008
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