Individual
DIANE GORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
6051 FRANKFORT HWY, SUITE 200, BENZONIA, MI 49616-9558
(877) 398-2013
Mailing address
216 HARWOOD RD, BEULAH, MI 49617-9740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802087599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802087599
LLBSW LICENSE
MI
Enumeration date
05/28/2013
Last updated
05/28/2013
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