Individual
MS. DIANA LANE DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N 48TH AVE, YAKIMA, WA 98908-3134
(509) 860-8922
Mailing address
102 N 48TH AVE, YAKIMA, WA 98908-3134
(509) 860-8922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO-60865250
WA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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