Individual
MRS. DIANE M FARNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
140 DICKINSON AVE, RUSSELL, MA 01071-9782
(413) 364-5527
Mailing address
140 DICKINSON AVE, RUSSELL, MA 01071-9782
(413) 364-5527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4217
MA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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