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Individual

MRS. DIANE RENE BRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW,MSW,BA

Contact information

Practice address
615 SHIPYARD BLVD., WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD., WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
006365
CT
1041C0700X
Clinical Social Worker
Primary
C010153
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00802743
CT
01
060669107
UBH/CONNECTICARE WELLMORE GRP/FACILITY
CT
01
12754691
CAQH
CT
01
4970561
CIGNA BEHAVIORAL HEALTH
CT
01
539515
MHN MANAGED HEALTH NETWORK
CT
01
539515 PENDING
MHN TRICARE NORTH
CT
01
9641730
AETNA BEHAVIORAL HEALTH
CT
01
D339123 141 E MAIN
BEACON HEALTH STRATEGIES
CT
Enumeration date
12/10/2008
Last updated
09/02/2016
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