Pamela Ann Dibiasio, LSW

NPI #1275050148 in Tallmadge, Ohio

Provider Information

NPI Number: 1275050148
Entity Type: Individual
Name: Pamela Ann Dibiasio, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Aug 23, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 30 NORTHWEST AVE
Address 2: BUILDING A, SUITE 120
City: Tallmadge
State: Ohio
ZIP Code: 44278-4427
Phone: (330) 633-4187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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