Individual
MRS. DIANE LYDIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9225 N 3RD ST, SUITE 103, PHOENIX, AZ 85020-2439
(480) 215-2288
(602) 906-3519
Mailing address
9225 N 3RD ST, SUITE 103, PHOENIX, AZ 85020-2439
(480) 215-2288
(602) 906-3519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 1858
AZ
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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