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1003992934
DIANE L STAIB
DORCHESTER, MA
NPI
1003992934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 212349)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Ms. DIANE L STAIB LCSW
UPHAM'S ELDER SERVICE PLAN 1140 DORCHESTER AVE
DORCHESTER, MA 02125
Phone number: 617-288-0970
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Mailing Address
Ms. DIANE L STAIB LCSW
35 SWALLOW ST # 3
SOUTH BOSTON, MA 02127-3212
Phone number: 617-288-0970
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