Individual
DIANE M. CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 FENNO ST, QUINCY, MA 02170-3934
(617) 472-2262
(617) 740-1850
Mailing address
200 FENNO ST, QUINCY, MA 02170-3934
(617) 472-2262
(617) 740-1850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
215641
MA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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