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Individual

DIANA K MORYL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6910 N MAIN ST UNIT 13L, GRANGER, IN 46530-9681
(574) 231-6766
(833) 249-2411
Mailing address
6910 N MAIN ST, STE 13L, BOX 52, GRANGER, IN 46530
(574) 231-6766
(833) 249-2411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001715A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
03/16/2020
Last updated
03/16/2020
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