Individual
DIANA SADJADI-FARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 HIGHLAND AVENUE, BUILD B SUITE 6, CHESHIRE, CT 06410-2527
(347) 227-5150
Mailing address
166 HUDSON ST FL 1, BERLIN, CT 06037-3113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9938
CT
Other
Enumeration date
09/30/2017
Last updated
03/07/2018
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