Individual
SORY IBRAHIM DIARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
498 NW 18TH ST BLDG 417, RICHMOND, IN 47374-2851
(765) 373-8704
(765) 488-2609
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99100961A
IN
Other
Enumeration date
12/16/2020
Last updated
06/17/2021
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