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Individual

MS. DIANA LYNN HARGROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
209 MILWAUKEE ST, MOUNT VERNON, WA 98273-4200
(360) 419-7575
(360) 419-3611
Mailing address
209 MILWAUKEE ST, MOUNT VERNON, WA 98273-4200
(360) 419-7575
(360) 419-3611

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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