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Individual

MRS. DIANA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
925 KILLARNEY DR, DYER, IN 46311-1292
(773) 618-2231
Mailing address
925 KILLARNEY DR, DYER, IN 46311-1292
(773) 618-2231

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178002128
IL
101YP2500X
Professional Counselor
Primary
180.006746
IL

Other

Enumeration date
12/22/2006
Last updated
12/30/2024
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