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Individual

CARIE K. DINEHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1085 MAPLE ST, FARMINGTON, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557
Mailing address
1085 MAPLE ST, FARMINGTON, FARMINGTON, MO 63640-1955
(573) 756-5353
(573) 756-4557

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2007018938
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2007018938
MO

Other

Enumeration date
12/11/2007
Last updated
12/11/2007
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