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Individual

MRS. DIANE C KLEEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
150 E MARKET ST, WARREN, OH 44481-1141
(330) 399-6451
(330) 394-6266
Mailing address
4970 BELMONT AVE, YOUNGSTOWN, OH 44505-1018
(330) 759-8237
(330) 759-9532

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1533
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0412584
OH
01
11658167
CAQH
OH
Enumeration date
12/29/2006
Last updated
07/08/2007
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