Individual
EDWIN JAMAL KISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
50 HILLSIDE ST APT A3, EAST HARTFORD, CT 06108-3630
(860) 478-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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