Individual
JESSICA LEVINNIA DIMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 BOSTON TPKE STE B, BOLTON, CT 06043-7451
(860) 782-0036
Mailing address
125 SOUTH ST APT 380, VERNON, CT 06066-4470
(860) 455-3858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11145
CT
Other
Enumeration date
09/18/2017
Last updated
10/11/2024
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