Individual
DIANE JOAN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
419 E 7TH ST #207, THE DALLES, OR 97058
(541) 296-5228
Mailing address
PO BOX 1114, THE DALLES, OR 97058
(541) 296-5228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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