Individual
NICOLE ANN WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
(203) 401-3352
Mailing address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
(203) 401-3352
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
01/10/2012
Last updated
10/09/2012
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