Individual
DR. DIANE POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1019 FARMINGTON AVE, BRISTOL, CT 06010-3955
(860) 306-8192
(860) 231-6795
Mailing address
140 SYLVAN AVE, WEST HARTFORD, CT 06107-1737
(860) 521-6105
(860) 231-6795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008653
CT
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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