Individual
DIANE SCHRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
400 BAYONET ST, 304, NEW LONDON, CT 06320-2600
(860) 443-7505
Mailing address
400 BAYONET ST, 304, NEW LONDON, CT 06320-2600
(860) 443-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009098
CT
Other
Enumeration date
09/06/2015
Last updated
09/06/2015
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