Individual
MS. DEBORA DIEMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 JUNIPER BROOK RD, NORTHBOROUGH, MA 01532-2311
(508) 393-0343
Mailing address
11 JUNIPER BROOK RD, NORTHBOROUGH, MA 01532-2311
(508) 393-0343
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118288
MA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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