Individual
DIANA MITOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3899
(203) 801-2271
Mailing address
208 VALLEY RD, NEW CANAAN, CT 06840-3899
(203) 801-2271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8484
CT
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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