Individual
DIANE ELIZABETH HOLZWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 SALEM TPKE, BOZRAH, CT 06334-1519
(860) 608-1584
(860) 859-7012
Mailing address
102 HOLLOWELL RD, PRESTON, CT 06365-8709
(860) 608-1584
(860) 859-0712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005118
CT
Other
Enumeration date
03/16/2007
Last updated
04/04/2012
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