PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC
Physician Assistant at Main St, Easton, MA

License number
Massachusetts 99999
Category
Social Work
Type
Clinical
License number
Massachusetts 99999
Category
Social Work
Type
Clinical
License number
Massachusetts 9999999
Category
Psychiatric
Type
Psychiatry
License number
Massachusetts XXXXXXX
Category
Physician Assistant
Type
Psychiatric/Mental Health
Owner
Name: MS. DIANE L CARLSON LICSW
Title: MANAGING PARTNER
Phone: (508) 238-7766
Address
Address
115 Main St SUITE 2D, Easton, MA 02356
National Provider ID: 1326052317
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHOLOGICAL ASSOCIATES OF SOUTHEASTERN MASSACHUSETTS, LLC

115 Main St SUITE 2D, North Easton, MA 02356

Registration:
Nov 1, 1998
State ID:
043436366
Business type:
Domestic Limited Liability Company (LLC)
Real propertys:
Diane L. Carlson (Manager), 115 Main St SUITE 2D, North Easton, MA 02356 (Physical),Diane L Carlson (Real property), 115 Main St SUITE 2D, North Easton, MA 02356 (Physical)

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