Harold, Diana Marie

Harold, Diana Marie is an individual health care provider with primary practice located at 2751 Thomas Dr , Cape Girardeau MO 63701-2131. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Harold, Diana Marie can be contacted via phone (573) 334-2889.

Contact Information

Primary practice address
2751 Thomas Dr Cape Girardeau MO 63701-2131
Phone: (573) 334-2889
Fax: (573) 651-9152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2001021755 Missouri

Profile Details

NPI number 1003028960
LBN Legal business name Harold, Diana Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003028960 NPPES
Missouri Other BCBS 181123 LCSW

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