Individual
MS. SUSAN D DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23B CHURCH LN, EAST LYME, CT 06333-1785
(860) 333-5075
(860) 333-5075
Mailing address
29 PIN OAK TRL, OLD LYME, CT 06371-1273
(860) 830-4739
(860) 830-4739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
27.000683
CT
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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