Individual
DIANE ROSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 PROSPECT ST, NEW HAVEN, CT 06511-2181
(203) 776-6100
(203) 773-8198
Mailing address
1890 DIXWELL AVE, SUITE 207, HAMDEN, CT 06514-3122
(203) 404-6444
(203) 407-6442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002586
CT
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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