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Individual

MS. DIANA L SPURLOCK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, LISW

Contact information

Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(800) 949-1005
(928) 776-6125
Mailing address
1050 S 16TH PL, COTTONWOOD, AZ 86326-6993
(928) 649-1802

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 4157
AZ
1041C0700X
Clinical Social Worker
LISW I4257
NM

Other

Enumeration date
06/02/2006
Last updated
07/08/2007
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