Individual
RASHETTA NIWIKIA MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 ELM ST APT 10C, TARIFFVILLE, CT 06081-9609
(860) 982-0331
Mailing address
55 ELM ST APT 10C, TARIFFVILLE, CT 06081-9609
(860) 982-0331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22162122
CT
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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