DIANE MIXON

NEW BRITAIN, CT
NPI1124178462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  000197)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- DIANE MIXON CADC
36 RUSSELL ST
NEW BRITAIN, CT 06052-1313
Phone number: 860-223-8885
Mailing Address
-- DIANE MIXON CADC
36 RUSSELL ST
NEW BRITAIN, CT 06052-1313
Phone number:
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