Individual
DIANE A LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
23715 MERCANTILE RD, SUITE 203A, BEACHWOOD, OH 44122-5933
(216) 292-2880
Mailing address
23715 MERCANTILE RD, SUITE 203A, BEACHWOOD, OH 44122-5933
(216) 292-2880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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