Individual
MS. DIANE RENEE WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 RIVERCLIFF LANE, COUNCE, TN 38326
(720) 252-7985
Mailing address
P. O. BOX 34, PICKWICK DAM, TN 38365
(720) 252-7985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
57
CO
1041C0700X
Clinical Social Worker
Primary
5762
TN
Other
Enumeration date
01/08/2008
Last updated
02/05/2013
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