Individual
JORDIN HAILEY DIANTONIO-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
555 AMORY ST, BOSTON, MA 02130-2652
(774) 205-0339
Mailing address
555 AMORY ST, BOSTON, MA 02130-2652
(774) 205-0339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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