Individual
MS. DIANA M HAMILTON-ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
255 MAIN ST, FITCHBURG, MA 01420-4331
(978) 343-6957
(978) 343-0449
Mailing address
625 SHEA ST, FITCHBURG, MA 01420-4889
(978) 665-9260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041007
MA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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