Individual
MS. DIANE R FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
227 W MADISON ST, OTTAWA, IL 61350-2866
(815) 942-6323
(779) 210-5541
Mailing address
PO BOX 713260, CHICAGO, IL 60677-0264
(630) 545-6016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.006277
IL
Other
Enumeration date
01/05/2007
Last updated
05/24/2023
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