Kimberly Marie Diggs | Roxbury, MA • PECOS Search

Kimberly Marie Diggs

Counselor

Behavioral Health & Social Service Providers

56 Dimock St, Roxbury, MA 02119-1210

(617) 442-8800 (617) 939-3008

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Marie Diggs does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1770835225
Provider Type
Individual
Full Name
Diggs, Kimberly Marie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/9/2012
Last Updated
10/26/2012

Contact Information

Practice Location

56 Dimock St, Roxbury, MA 02119-1210

Unlisted Fax

Mailing Location

304 Seaver St, Apt 3, Dorchester, MA 02121-3018

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer