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Individual

MR. BRIAN WILLIAM DIEHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2061
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
(617) 425-2061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
121205

Other

Enumeration date
06/21/2013
Last updated
05/05/2022
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