Individual
DANIELLE DIEFENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 WAYNE ST # B, COLUMBIA, TN 38401-4526
(931) 560-3070
Mailing address
1602 JEREMY DR, COLUMBIA, TN 38401-5434
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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