Individual
DIANNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
ONE SHAW'S COVE, NEW LONDON, CT 06320-6302
(860) 447-8304
(860) 443-8720
Mailing address
ONE SHAW'S COVE, NEW LONDON, CT 06320-6302
(860) 447-8304
(860) 443-8720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9593
CT
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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