Individual
CARLISA A WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 E HAROLD ST, BLOOMFIELD, CT 06002-3905
(203) 609-4759
Mailing address
113 E HAROLD ST, BLOOMFIELD, CT 06002-3905
(203) 609-4759
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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