Individual
MS. DIANNE MARIE STEFANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.,ATR.,LPAT,B-C
Contact information
Practice address
5 STARLING SQUARE, CLINTON, MS 39056
(601) 924-1987
Mailing address
5 STARLING SQUARE, CLINTON, MS 39056
(601) 924-1987
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
PAT0002
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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