Individual
ANITA WEICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1062 BARNES RD, SUITE 106, WALLINGFORD, CT 06492-6012
(203) 988-5192
Mailing address
91 POOL RD, NORTH HAVEN, CT 06473-2312
(203) 988-5192
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004245
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243010
—
CT
Enumeration date
07/15/2008
Last updated
10/19/2013
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