Individual
MRS. DIANE V. HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
1202 MARKET ST., HERMANN, MO 65041
(573) 486-0136
(573) 486-5042
Mailing address
PO BOX 294, 1202 MARKET ST, HERMANN, MO 65041
(573) 486-0136
(573) 486-5042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168313
BLUE CROSS BLUE SHIELD MO
MO
Enumeration date
05/02/2007
Last updated
07/08/2007
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