Individual
DIANNE ELIZABETH DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW, LCSW
Contact information
Practice address
220 S MAIN ST, KENDALLVILLE, IN 46755-1718
(260) 347-2453
(260) 347-5649
Mailing address
220 S MAIN ST, PO BOX 817, KENDALLVILLE, IN 46755-1718
(260) 347-2453
(260) 347-5649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002012A
IN
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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