Individual
DIANA COTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(800) 493-9602
Mailing address
14972 ASPEN LN, APT G, WATERTOWN, NY 13601
(334) 806-5684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4001
HI
Other
Enumeration date
12/02/2014
Last updated
12/04/2025
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