Individual
DIANA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 WINCHESTER AVE, MARTINSBURG, WV 25401-2102
(304) 919-0001
(888) 596-2658
Mailing address
72 FOAL LN, MARTINSBURG, WV 25405-2562
(304) 919-0001
(888) 596-2658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00943213
WV
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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