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Individual

DIANE A DOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
120 E OGDEN AVE STE 220, HINSDALE, IL 60521-3546
(630) 325-5300
(630) 325-5309
Mailing address
200 S LINCOLN ST, WESTMONT, IL 60559-1918
(630) 624-1832

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02215636
BC/BS
IL
Enumeration date
12/29/2018
Last updated
12/29/2018
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