Individual
STACEY DIANA PISCOTTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
602 NEW BRITAIN AVE, HARTFORD, CT 06106-4033
(860) 249-0975
Mailing address
52 GOODRICH ST, HARTFORD, CT 06114-2612
(860) 597-3605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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