Individual
DIANA LYNN PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10305 DAWSONS CREEK BLVD STE C, FORT WAYNE, IN 46825-1914
(260) 485-0568
Mailing address
10305 DAWSONS CREEK BLVD STE C, FORT WAYNE, IN 46825-1914
(260) 485-0568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183106
BCBS
—
Enumeration date
07/20/2006
Last updated
12/28/2007
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