| Jennifer Dimaio, Lcsw Llc | |
|
40 Avon Meadow Ln Avon CT 06001-3753 | |
| (860) 416-6949 | |
| Not Available |
| Full Name | Jennifer Dimaio, Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Avon Meadow Ln, Avon, Connecticut |
| Authorized Official Name and Position | Jennifer Delia Dimaio (OWNER) |
| Authorized Official Contact | 8604166949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Dimaio, Lcsw Llc 92 Lawton Rd Canton CT 06019-2239 Ph: (860) 693-8850 | Jennifer Dimaio, Lcsw Llc 40 Avon Meadow Ln Avon CT 06001-3753 Ph: (860) 416-6949 |
| NPI Number | 1588177208 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588177208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006442 (Connecticut) | Primary |
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