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Individual

MRS. DANA WETMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
913 STATE ST, NEW HAVEN, CT 06511-3926
(203) 503-3660
(203) 503-3562
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2439
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008049504
CT
Enumeration date
09/22/2011
Last updated
11/01/2018
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