Individual
MRS. DIANTHE WARREN EISENDRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS
Contact information
Practice address
85 JUNIPER RD, BELMONT, MA 02478-2033
(617) 489-0385
(617) 489-4055
Mailing address
85 JUNIPER RD, BELMONT, MA 02478-2033
(617) 489-0385
(617) 489-4055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
100425
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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