Individual
MRS. DIANE RENA PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
409 STEEPLECHASE DR, AUBURN, IN 46706-9128
(260) 927-8063
Mailing address
409 STEEPLECHASE DR, AUBURN, IN 46706-9128
(260) 927-8063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005439A
IN
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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