Individual
DIANE M AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 MAPLE ST STE 325, SPRINGFIELD, MA 01103-2215
(413) 737-9544
(413) 737-4455
Mailing address
100 KENWOOD DR, NEW BRITAIN, CT 06052-1808
(860) 229-2052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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