Individual
DIANE ELLEN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6363 FOREST PARK RD STE BL5.210, DALLAS, TX 75235-5479
(214) 648-1290
(214) 867-5389
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9086
(214) 648-1290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31462
TX
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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