Individual
DIANE M ORRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5575 WARREN PKWY STE 120, FRISCO, TX 75034-4093
(844) 824-8775
Mailing address
USA MEDDAC ATTN: CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65646
TX
1041C0700X
Clinical Social Worker
6801063746
MI
Other
Enumeration date
11/29/2005
Last updated
11/15/2022
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