Individual
MR. EVER PEACEFUL WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
360 MAIN ST # 2B, MIDDLETOWN, CT 06457
(860) 799-1441
Mailing address
360 MAIN ST # 2B, MIDDLETOWN, CT 06457-3375
(860) 799-1441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8959
CT
Other
Enumeration date
06/12/2013
Last updated
05/28/2018
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