Individual
DAVID C DIMOPLON
Active
Individual
DAVID C DIMOPLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004654A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537247
ANTHEM BCBS
IN
05
—
100073590
—
IN
Enumeration date
12/06/2006
Last updated
05/16/2018
Update your record
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