Individual
MS. DIANE M ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1106 N 20TH ST, QUINCY, IL 62301-2006
(217) 779-0339
Mailing address
1106 N 20TH ST, QUINCY, IL 62301-2006
(217) 779-0339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023014190
MO
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-58059
MT
Other
Enumeration date
12/14/2022
Last updated
02/25/2026
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