Individual
MRS. DIANA JEAN MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
18714 N VILLAGE, HAGERSTOWN, MD 21742-2454
(301) 733-0331
(301) 733-4038
Mailing address
PO BOX 1945, BROOK LANE HEALTH SERVICES, HAGERSTOWN, MD 21742-1945
(301) 733-0331
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986965400
—
MD
Enumeration date
02/03/2006
Last updated
06/18/2010
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