Individual
MRS. DIANNELLE WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
373 COMMONWEALTH RD APT 119, WAYLAND, MA 01778-5135
(917) 743-5855
Mailing address
373 COMMONWEALTH RD APT 119, WAYLAND, MA 01778-5135
(917) 743-5855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW228130
MA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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