Individual
JENNIFER DELIA DIMAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 GRIST MILL LN, SIMSBURY, CT 06070-2485
(860) 416-6949
Mailing address
92 LAWTON ROAD, CANTON, CT 06019
(860) 416-6949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006442
CT
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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