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Organization
DIANE E, CASALAINA, MA, LADC, LLC
Active
Organization
DIANE E, CASALAINA, MA, LADC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE ELENA CASALAINA L.A.D.C. (OWNER)
(203) 301-4660
Entity
Organization
Contact information
Practice address
31 CHERRY ST, SUITE 101, MILFORD, CT 06460-3465
(203) 301-4659
Mailing address
31 CHERRY ST, SUITE 101, MILFORD, CT 06460-3465
(203) 301-4659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000805
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001912
—
CT
01
—
300000805CT01
BLUE CROSS BLUE SHIELD ANTHEM
—
Enumeration date
09/21/2010
Last updated
09/21/2010
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