Individual
DIANA MARIBEL ESTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 736-3668
Mailing address
65 W BEACON ST APT A5, WEST HARTFORD, CT 06119-1851
(860) 574-7592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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