Individual
MS. DIANE MARIE SURRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Mailing address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019703
MA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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