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Individual

MS. DIANNE SENTER LOCKWOOD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
59 SAMOSET ST, PLYMOUTH, MA 02360-4551
(508) 747-2308
(508) 224-4755
Mailing address
88 JOHN ALDEN RD, PLYMOUTH, MA 02360-2022
(508) 243-5167
(508) 224-4755

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102365
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851454
MA
01
62-23286
UNITED HEALTH CARE
01
759807
TUFTS
01
PO1381
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/20/2006
Last updated
07/08/2007
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