Individual
DIANA COHEN CONNERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 977-8022
Mailing address
22 ASHLEY LN, MIDDLEBORO, MA 02346-3200
(508) 272-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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