Jane Kistler
Social Worker, Clinical in Westport, CT. Individual provider (NPI-1).
NPI number1013251925
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1013251925
- Entity type
- Individual (NPI-1)
- Name
- Jane Kistler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2012
- Last updated
- Jan 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 009274 | CT | Yes |
Practice location
120 Post Rd WSuite 102a
Westport, CT 06880-4206
Phone 203-644-0332 · Fax 203-834-1408
Mailing address
312 Chestnut Hill RdWilton, CT 06897-3501
Phone 203-644-0332 · Fax 203-834-1408
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