Individual
DIANE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 810-4404
Mailing address
180 FAIRFIELD AVE, BRIDGEPORT, CT 06604-4252
(203) 810-4404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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