Individual
LATISHA BIRCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 STATE ST, MERIDEN, CT 06450-3242
(203) 630-1568
Mailing address
205 ORANGE ST, NEW HAVEN, CT 06510-2069
(203) 630-1568
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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