Individual
CHARISSE WESTON-KELDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
93 VILLAGE GREEN DR, NEW BRITAIN, CT 06053-2652
(860) 777-6049
Mailing address
93 VILLAGE GREEN DR, NEW BRITAIN, CT 06053-2652
(860) 777-6049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005890
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005890
LCSW
CT
Enumeration date
09/21/2017
Last updated
07/21/2022
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