Individual
MRS. DOROTHY DIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97801-0160
(541) 966-9830
(541) 278-7568
Mailing address
46314 TIMINE WAY, PO BOX 160, PENDLETON, OR 97801-0160
(509) 682-8517
(509) 682-6131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00006833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080282
—
WA
Enumeration date
03/07/2006
Last updated
08/02/2018
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