| Dina Boctor Llc | |
|
475 S Main St Ste 3 Cheshire CT 06410-3164 | |
| (860) 985-8751 | |
| Not Available |
| Full Name | Dina Boctor Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 475 S Main St Ste 3, Cheshire, Connecticut |
| Authorized Official Name and Position | Dina F Boctor (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8609858751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dina Boctor Llc 90 Sylvan Ave West Hartford CT 06107-1735 Ph: (860) 985-8751 | Dina Boctor Llc 475 S Main St Ste 3 Cheshire CT 06410-3164 Ph: (860) 985-8751 |
| NPI Number | 1194359190 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194359190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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