Individual
DIANA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
29 EAST ST, HINGHAM, MA 02043-1903
(781) 740-1059
Mailing address
29 EAST ST, HINGHAM, MA 02043-1903
(781) 740-1059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105895
MA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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