Individual
DIANNA BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 W FRONT ST STE 100119, HUTTO, TX 78634-4204
(512) 524-6121
Mailing address
409 W FRONT ST STE 100119, HUTTO, TX 78634-4204
(512) 524-6121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
69615
TX
Other
Enumeration date
11/03/2020
Last updated
10/30/2023
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