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Individual

MS. DIANE M DATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
4218 ARBUTUS AVE, GROVE CITY, OH 43123-3115
(614) 600-9867
Mailing address
4218 ARBUTUS AVE, GROVE CITY, OH 43123-3115
(614) 600-9867

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0009482
OH

Other

Enumeration date
11/21/2015
Last updated
11/21/2015
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