Organization
DIANE O'NEILL LISW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE O'NEILL LISW (SOLE MEMBER/MANAGER)
(803) 619-9103
Entity
Organization
Contact information
Practice address
852 GOLD HILL RD, SUITE 206, FORT MILL, SC 29708-7976
(803) 619-9103
(866) 585-6452
Mailing address
852 GOLD HILL RD, SUITE 206, FORT MILL, SC 29708-7976
(803) 619-9103
(866) 585-6452
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9672
SC
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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