Individual
MRS. DARCEY L SURETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1234 BROADWAY, SOMERVILLE, MA 02144-1703
(617) 821-9996
Mailing address
65 TYLER AVE, MEDFORD, MA 02155-2111
(617) 821-9996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1268
MA
Other
Enumeration date
01/29/2007
Last updated
03/11/2010
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