Individual
DIANE LOIS SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Mailing address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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