Individual
MS. CLARA DIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 E MERRIMACK ST STE 1, LOWELL, MA 01852-1900
(978) 453-6800
Mailing address
79 TREMONT ST # 1, CAMBRIDGE, MA 02139-1345
(617) 547-0451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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