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Individual

MR. JAMES D DZIEKAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2 LAURELWOOD POND LN, NEW HARTFORD, CT 06057-3644
(860) 921-1605
Mailing address
2 LAURELWOOD POND LN, NEW HARTFORD, CT 06057-3644

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006723
CT

Other

Enumeration date
09/23/2008
Last updated
04/07/2010
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