Individual
DIANDRA SUSIE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63 E CENTER ST STE 2R, MANCHESTER, CT 06040-5221
(860) 281-1133
(860) 650-0655
Mailing address
63 E CENTER ST STE 2R, MANCHESTER, CT 06040-5221
(860) 281-1133
(860) 650-0655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10871
CT
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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