Individual
DIANA DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
759 CHESTNUT ST # WING3553, SPRINGFIELD, MA 01107-1619
(413) 794-9744
Mailing address
759 CHESTNUT ST # WING3553, SPRINGFIELD, MA 01107-1619
(413) 794-9744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117396
MA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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