MS. Diane Huston Fassak, L.I.C.S.W.

NPI #1720131212 in Hingham, Massachusetts

Provider Information

NPI Number: 1720131212
Entity Type: Individual
Name: MS. Diane Huston Fassak, L.I.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.I.C.S.W.
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 210 WHITING ST
Address 2: SUITE #5
City: Hingham
State: Massachusetts
ZIP Code: 02043-3724
Phone: (781) 740-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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