Individual
DIANE DALENE DENICE KLINE-GORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
(989) 345-4111
Mailing address
PO BOX 310, TAWAS CITY, MI 48764-0310
(989) 362-8636
(989) 362-7800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802077949
MI
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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