Diana L Calcott, MA LP

NPI #1013064369 in Lake Odessa, Michigan

Provider Information

NPI Number: 1013064369
Entity Type: Individual
Name: Diana L Calcott, MA LP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MA LP
Enumeration Date: Jan 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 830 JORDAN LAKE ST
City: Lake Odessa
State: Michigan
ZIP Code: 48849-1270
Phone: (616) 374-7410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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