Individual
MRS. DIANA MARIE LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
64 FRUIT STREET EXT, MILFORD, MA 01757
(978) 869-7215
Mailing address
64 FRUIT STREET EXT, MILFORD, MA 01757-3349
(978) 869-7215
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
115353
MA
Other
Enumeration date
01/17/2007
Last updated
07/20/2018
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