Individual
MS. DIANA RAE BULLER TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
126 MAIN ST, HALSTEAD, KS 67056-1708
(316) 835-3700
(316) 283-1333
Mailing address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-6103
(316) 283-1333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2348
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442150A
—
KS
Enumeration date
06/07/2007
Last updated
01/18/2021
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