Individual
MR. GARY LEE DIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1007 MAIN ST., DAYVILLE, CT 06241-0839
(860) 774-2020
(860) 774-0826
Mailing address
181 WASHINGTON ST, APT.2, NORWICH, CT 06360-4218
(860) 887-4658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1025809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025809
LICSW
MA
Enumeration date
12/15/2006
Last updated
07/08/2007
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