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Individual

DIANE L PEMBERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 WIANNO AVE, OSTERVILLE, MA 02655-1925
(508) 360-6267
Mailing address
135 WIANNO AVE, OSTERVILLE, MA 02655-1925
(508) 360-6267

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MA
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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