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Individual

DIANE ELIZABETH CIAFULLO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
121 E BROADWAY BLVD, SEDALIA, MO 65301-5800
(660) 826-2380
(660) 827-6277
Mailing address
121 E BROADWAY BLVD, SEDALIA, MO 65301-5800
(660) 826-2380
(660) 827-6277

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005163
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30645012
BLUE CROSS BLUE SHIELD ID
MO
Enumeration date
08/16/2005
Last updated
07/09/2007
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