Individual
MS. DIANE MICHAELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 MAPLE HILL RD, NAUGATUCK, CT 06770-3558
(203) 632-5261
Mailing address
700 MAPLE HILL RD, NAUGATUCK, CT 06770-3558
(203) 632-5261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004164
CT
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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