Individual
MRS. DIANE BETH HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
33 OLD CONNECTICUT PATH, WAYLAND, MA 01778-2810
(508) 358-4030
Mailing address
33 OLD CONNECTICUT PATH, WAYLAND, MA 01778-2810
(508) 358-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103495
MA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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