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Individual

DIANNE DECOSTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW PLLC

Contact information

Practice address
160 DOVER RD, SUITE #5, CHICHESTER, NH 03258-6537
(603) 486-2275
(603) 798-3104
Mailing address
160 DOVER RD, SUITE #5, CHICHESTER, NH 03258-6537
(603) 486-2275

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1525
NH

Other

Enumeration date
10/20/2011
Last updated
03/09/2012
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