Individual
DIANA CARSON GRYSZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1353 GOLD STAR HWY, GROTON, CT 06340-2739
(860) 629-8437
Mailing address
1353 GOLD STAR HWY, GROTON, CT 06340-2739
(860) 629-8437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006037
CT
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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