Individual
MRS. DIANA LYNN NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3703 W 6200 S, KEARNS, UT 84118-3749
(801) 955-9686
(801) 965-8789
Mailing address
94 NORTH PINE CREEK DRIVE, WEST POINT, UT 84015
(801) 773-7441
(801) 773-7441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5419961-3501
UT
Other
Enumeration date
01/31/2006
Last updated
02/24/2014
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