Individual
MS. DIEM CHAU LAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 282-0954
Mailing address
102 MONTCLAIR AVE, QUINCY, MA 02171-2519
(617) 471-2057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000024333
BMCHP HEALTH PLAN
MA
01
—
MPP089206
LIABILITY INSURANCE
MA
Enumeration date
12/15/2006
Last updated
07/08/2007
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