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Individual

DIANA MARIE MUSGRAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
(216) 521-6006
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 521-6511
(216) 521-6006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1600655-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0202867
OH
Enumeration date
03/16/2011
Last updated
07/20/2020
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