Organization
DIANA DIGIACOMO-CANELLAS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA SILVIA DIGIACOMO-CANELLAS LCSW (CLINICAL SOCIAL WORKER)
(860) 324-6841
Entity
Organization
Contact information
Practice address
705 N MOUNTAIN RD, SUITE 110, NEWINGTON, CT 06111-1412
(860) 324-6841
Mailing address
6 FREEMAN ST, HARTFORD, CT 06114-2719
(860) 324-6841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006422
CT
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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