Individual
MRS. DIANA DAWN VANDEVEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 S SHERRIN AVE, LOUISVILLE, KY 40207-3221
(502) 894-9822
Mailing address
111 S SHERRIN AVE, LOUISVILLE, KY 40207-3221
(502) 894-9822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
573
KY
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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