Individual
DIANE ELIZABETH BEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 524-7560
Mailing address
1070 SOUTHWOOD DR, SAN LUIS OBISPO, CA 93401-5813
(805) 782-9101
(805) 782-9097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009325
NC
Other
Enumeration date
01/04/2013
Last updated
11/14/2023
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