Individual
DIANNE TRACEY-WINICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4 BLONDERS BLVD, LEDYARD, CT 06339-1504
(860) 464-9255
Mailing address
44 SKYVIEW DR, COLCHESTER, CT 06415-2439
(860) 336-6390
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000787
CT
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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