Individual
DIANE DURKIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1299 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3135
(614) 566-3348
Mailing address
4733 COOLBROOK DR, HILLIARD, OH 43026-7807
(614) 507-1781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I6025
OH
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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