Individual
MRS. DIANE MARIE MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
395 WASHINGTON ST, SUITE #8, DEDHAM, MA 02026-4456
(781) 326-4110
(508) 203-5163
Mailing address
395 WASHINGTON ST, SUITE #8, DEDHAM, MA 02026-4456
(781) 326-4110
(508) 203-5163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
114780
MA
Other
Enumeration date
04/20/2011
Last updated
08/18/2011
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