Individual
MISS DIANA MEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
37 BELMONT ST, SOUTH BAY MENTAL HEALTH, BROCKTON, MA 02301-5299
(508) 580-4691
(508) 588-5751
Mailing address
37 BELMONT ST, BROCKTON, MA 02301-5299
(508) 580-4691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
11/24/2010
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