Individual
MRS. DIANA LEIGH EARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2810 MOUNT HOPE RD, WEBB CITY, MO 64870-9674
(417) 624-9659
Mailing address
19402 GUM RD, JOPLIN, MO 64801-8144
(417) 673-7688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011003367
MO
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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