MS. Diane L Staib, LCSW
NPI #1003992934 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1003992934
- Entity Type
- Individual
- Name
- MS. Diane L Staib, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- UPHAM'S ELDER SERVICE PLAN
- Address 2
- 1140 DORCHESTER AVE
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02125
- Phone
- (617) 288-0970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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