Individual
MS. CARYL ELLEN DIENGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, C-ASWCM
Contact information
Practice address
34 HATTIE LANE, BILLERICA, MA 01821-3520
(978) 436-9998
Mailing address
34 HATTIE LANE, BILLERICA, MA 01821-3520
(978) 436-9998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1027877
MA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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