Individual
MS. DIANE K ADELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
244 SOUTH MAIN STREET, COLCHESTER, CT 06415
(860) 338-3324
Mailing address
244 SOUTH MAIN STREET, COLCHESTER, CT 06415
(860) 338-3324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000734
CT
1041C0700X
Clinical Social Worker
000714
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
CT
Enumeration date
04/21/2006
Last updated
04/30/2013
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