Individual
KATHERINE WIZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 LINBROOK RD, WEST HARTFORD, CT 06107-1225
(860) 306-2159
Mailing address
38 LINBROOK RD, WEST HARTFORD, CT 06107-1225
(860) 306-2159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10007
CT
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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