Individual
MS. DIANNE E.A. YEARWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
50 THOMAS ST, MEDFORD, MA 02155-4536
(781) 395-0131
Mailing address
50 THOMAS ST, MEDFORD, MA 02155-4536
(781) 395-0131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106029
MA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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