Individual
DIANE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
133 WILL SMITH RD, BROXTON, GA 31519-3535
(912) 381-0039
(888) 519-1159
Mailing address
PO BOX 1892, DOUGLAS, GA 31534-1892
(912) 381-0039
(888) 519-1159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2141
GA
Other
Enumeration date
01/30/2007
Last updated
01/22/2013
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