Individual
DIANE ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-6000
Mailing address
8638 S DESERT SKYLINE PL, TUCSON, AZ 85747-5146
(520) 574-2586
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LCSW-10554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777469
—
AZ
Enumeration date
03/27/2007
Last updated
07/08/2007
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