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Organization
DIANE GIANCASPRO LCSW LLC
Active
Organization
DIANE GIANCASPRO LCSW LLC
Active
Other names
Coastal Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LORRAINE GIANCASPRO LCSW (CEO)
(269) 405-3644
Entity
Organization
Contact information
Practice address
28 S FRANKLIN ST, NEW BUFFALO, MI 49117-1554
(269) 405-3644
Mailing address
28 S FRANKLIN ST, NEW BUFFALO, MI 49117-1554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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