Individual
DIVINA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(203) 229-4830
(860) 826-8701
Mailing address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 229-4830
(860) 826-8701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005190
CT
Other
Enumeration date
06/29/2006
Last updated
12/05/2012
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