Individual
VIVIAN POLIANA DINNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60221283
WA
Other
Enumeration date
11/27/2012
Last updated
04/17/2017
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