Individual
ALANA DIPESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 305-2727
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 305-2727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
12/05/2014
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