Individual
DIANE L FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33 FALLS RD, MERCER, PA 16137-3903
(724) 651-7009
Mailing address
33 FALLS RD, MERCER, PA 16137-3903
(724) 651-7009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016306
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022204360001
—
PA
05
—
1022204360002
—
PA
Enumeration date
07/22/2008
Last updated
11/17/2023
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