Individual
DIANE M PINNEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
(712) 792-2124
Mailing address
311 S CLARK ST, PO BOX 628, CARROLL, IA 51401-3038
(712) 792-3581
(712) 792-2124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741454
—
IA
Enumeration date
11/01/2006
Last updated
07/08/2007
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