Individual
MRS. KIZZY KAI JETER-WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3300 MAIN ST, STRATFORD, CT 06614-4819
(203) 378-4514
(203) 378-0443
Mailing address
3300 MAIN ST, STRATFORD, CT 06614-4819
(203) 543-6855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/26/2024
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