Individual
DIANE E STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3201 E CENTER STREET EXT, WARSAW, IN 46582-3907
(574) 267-1700
(574) 267-0017
Mailing address
3201 E CENTER STREET EXT, WARSAW, IN 46582-3907
(574) 267-1700
(574) 267-0017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000990A
IN
1041S0200X
School Social Worker
3400090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
08/22/2006
Last updated
06/21/2021
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