Individual
MS. DIANE HUSTON FASSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
210 WHITING ST, SUITE #5, HINGHAM, MA 02043-3724
(781) 740-1188
(508) 337-8619
Mailing address
210 WHITING ST, SUITE #5, HINGHAM, MA 02043-3724
(781) 740-1188
(508) 337-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105561
MA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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