DIANE MATOS

JAMAICA PLAIN, MA
NPI1558446534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
Miss DIANE MATOS
640 CENTRE ST
JAMAICA PLAIN, MA 02130-2555
Phone number: 617-983-4224
Mailing Address
Miss DIANE MATOS
28 WYETH ST
MALDEN, MA 02148-5620
Phone number: 617-983-4224
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