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Individual

DIOGO SCOBEE MARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 629-3919
Mailing address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 629-3919

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
MA

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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