Individual
DIANE M PRIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
25 REGENT TER, MILFORD, CT 06460-4951
(203) 783-9648
Mailing address
25 REGENT TER, MILFORD, CT 06460-4951
(203) 783-9648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005591
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.A.Q.H.
11244119
CT
Enumeration date
08/10/2006
Last updated
07/08/2007
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