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Individual

DANA ANNE DESHIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
319 EAST ST APT 204, DEDHAM, MA 02026-2081
(781) 864-0543

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
222309
MA

Other

Enumeration date
08/07/2017
Last updated
08/07/2017
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