MRS. Christina R Diesen, LCSW

NPI #1326161969 in Breese, Illinois

Provider Information

NPI Number
1326161969
Entity Type
Individual
Name
MRS. Christina R Diesen, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 9, 2007
Last Updated
Mar 14, 2019

Practice Location

Address
231 N MAIN ST
City
Breese
ZIP Code
62230-1522
Phone
(618) 322-6424

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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