Diane Sprague Park, LSW

NPI #1477903888 in Ashland, Ohio

Provider Information

NPI Number: 1477903888
Entity Type: Individual
Name: Diane Sprague Park, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 432 CENTER ST
City: Ashland
State: Ohio
ZIP Code: 44805-3247
Phone: (419) 289-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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