Individual
DIANE E PASEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Mailing address
PO BOX 935, EAST LONGMEADOW, MA 01028-0935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005515
CT
1041C0700X
Clinical Social Worker
114447
MA
Other
Enumeration date
07/26/2009
Last updated
04/13/2012
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