Individual ProviderDiana Marie LeaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address64 Fruit Street Ext, Milford, MA 01757(978) 869-7215PECOS EnrollmentBased on the most recent information from CMS, provider Diana Marie Lea does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1376695981Provider TypeIndividualFull NameLea, Diana MarieTitleMrs.CredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date1/17/2007Last Updated7/20/2018Contact InformationPractice LocationPractice Address64 Fruit Street Ext, Milford, MA 01757Phone(978) 869-7215FaxUnlisted FaxMailing LocationMailing Address64 Fruit Street Ext, Milford, MA 01757-3349Phone(978) 869-7215FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense115353MassachusettsCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer