Individual
MISS DIANNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW, RASAC II
Contact information
Practice address
520 BURKARTH RD STE C, WARRENSBURG, MO 64093-3123
(660) 747-7127
(660) 747-1823
Mailing address
520 BURKARTH RD STE C, WARRENSBURG, MO 64093-3123
(660) 747-7127
(660) 747-1823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2013017691
MO
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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