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Individual

MRS. JENNIFER LYNN DINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
80 FERRY BLVD, STRATFORD, CT 06615-6079
(203) 394-6529
Mailing address
80 FERRY BLVD, STRATFORD, CT 06615-6079
(203) 394-6529

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010445
CT

Other

Enumeration date
04/08/2019
Last updated
04/08/2019
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