Individual
DIANNA WASIKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6521 CREEDMOOR RD STE 206, RALEIGH, NC 27613-3668
(919) 244-5417
Mailing address
6521 CREEDMOOR RD STE 206, RALEIGH, NC 27613-3668
(919) 244-5417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006562
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
12/18/2007
Last updated
09/07/2022
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