Individual
KENZIE WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 VAUXHALL ST, NEW LONDON, CT 06320-5711
(860) 442-2797
Mailing address
8 CHESTER CT, SALEM, CT 06420-4117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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