Individual
MS. DIANE JACQUELINE MILLER MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA LISW
Contact information
Practice address
7577 CENTRAL PARKE BLVD, 219, MASON, OH 45040-6809
(513) 770-3231
(513) 770-5541
Mailing address
7577 CENTRAL PARKE BLVD, 219, MASON, OH 45040-6809
(513) 770-3231
(513) 770-5541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0005085
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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