MEDICARE: MRS. FRANCES B DINES LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	106180	MA

General Provider Information

NPI Number	:	1194876292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES B DINES LICSW

Provider Business Mailing Address
First Line	:	27 WINDSOR RD
Second Line	:
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-6122
Country	:	US
Telephone Number	:	781-237-4829
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 AVERY SQ STE G
Second Line	:
City	:	NEEDHAM HEIGHTS
State	:	MA
Zip	:	02494-1359
Country	:	US
Telephone Number	:	781-237-4829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/08/2007

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