Individual
JODY-ANN WEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
324 FRENCH ST, WATERTOWN, CT 06795-2929
(860) 945-4810
Mailing address
160 W WASHINGTON ST APT B1, BRISTOL, CT 06010-5448
(860) 997-0688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7441
CT
Other
Enumeration date
04/29/2019
Last updated
10/17/2024
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