Individual
JUSTINE DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W PUTNAM AVE, GREENWICH, CT 06830-5203
(203) 559-5970
Mailing address
5 DOBEK TER, DERBY, CT 06418-2034
(194) 984-2747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1528
CT
Other
Enumeration date
02/13/2024
Last updated
02/21/2024
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