Individual
DINA COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
(860) 325-3363
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
(860) 325-3363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007166
CT
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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