Individual
LISA DIANE MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
125 COLLEGE POND RD, PLYMOUTH, MA 02360-3105
(626) 399-4290
Mailing address
125 COLLEGE POND RD # Q, PLYMOUTH, MA 02360-3105
(626) 399-4290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1925
MA
106H00000X
Marriage & Family Therapist
Primary
43286
CA
Other
Enumeration date
06/30/2008
Last updated
05/20/2023
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