Individual
DIANA OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 FIELDS AVE, DALTON, GA 30721-3264
(706) 218-8977
Mailing address
107 FIELDS AVE, DALTON, GA 30721-3264
(706) 218-8977
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005939604
—
GA
Enumeration date
02/20/2023
Last updated
02/20/2023
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