Diane Erica Basner, LCSW

NPI #1477055184 in Simsbury, Connecticut

Provider Information

NPI Number: 1477055184
Entity Type: Individual
Name: Diane Erica Basner, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Mar 8, 2018
Last Updated: Mar 8, 2018

Practice Location

Address: 55 DORSET XING UNIT 535
City: Simsbury
State: Connecticut
ZIP Code: 06070-1479
Phone: (601) 608-8884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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Organizations

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