Individual
MRS. DIANE D FAFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 COURT ST, SUITE 103, PLYMOUTH, MA 02360-7304
(508) 830-3444
(508) 830-3434
Mailing address
385 COURT ST, SUITE 103, PLYMOUTH, MA 02360-7304
(508) 830-3444
(508) 830-3434
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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