Individual
DEANNA RAE DINWIDDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
Mailing address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022048296
MO
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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