Individual
MR. KARL ERIC KOISTINEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
998 FARMINGTON AVE, 123, WEST HARTFORD, CT 06107-2162
(860) 803-8089
Mailing address
998 FARMINGTON AVE, 123, WEST HARTFORD, CT 06107-2162
(860) 803-8089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005267
CT
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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