Individual
COLLEEN M DIBELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 N MAIN ST, STE 300, WEST HARTFORD, CT 06107-1901
(860) 662-1641
(860) 760-6585
Mailing address
8 BRIGHTON RD, WEST HARTFORD, CT 06117-2609
(860) 662-1641
(860) 760-6585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003954
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261803133
—
CT
Enumeration date
06/09/2009
Last updated
05/17/2019
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