Individual
MS. DIANE BRIERS HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1105 QUARRIER ST, CHARLESTON, WV 25301-2410
(304) 344-3853
Mailing address
1105 QUARRIER ST, CHARLESTON, WV 25301-2410
(304) 344-3853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00940911
WV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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