Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA M STOUT (SOCIAL WORKER)
(203) 815-0220
Entity
Organization
Contact information
Practice address
200 EDISON RD, ORANGE, CT 06477-3602
(203) 508-7700
Mailing address
73 CHERRY LN, WEST HAVEN, CT 06516-5609
(203) 815-0220
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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