Individual
DIANA LYNN RAPAPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1220 S 7TH ST, SPRINGFIELD, IL 62703-2421
(217) 679-5379
Mailing address
2005 MORNING SUN LN, SPRINGFIELD, IL 62711-5633
(217) 494-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019126
IL
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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