Individual
MS. SANDRA RAE DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150
(617) 889-3300
Mailing address
301 BROADWAY, CHELSEA, MA 02150
(617) 889-3300
(617) 887-1889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101375
MA
Other
Enumeration date
07/12/2006
Last updated
03/26/2010
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