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Individual

MS. DIANE CAROL CROSSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
315 MORGANTOWN ST STE 7000, UNIONTOWN, PA 15401-4878
(724) 557-6598
(724) 550-4160
Mailing address
71 CONNOR ST, UNIONTOWN, PA 15401-4080
(724) 366-3176

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0007059L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102930181
PA
Enumeration date
02/04/2019
Last updated
02/04/2019
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