MRS. Dianne C Whitehead, LCSW
NPI #1649493990 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1649493990
- Entity Type
- Individual
- Name
- MRS. Dianne C Whitehead, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10111 LINCOLN TRL
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1825
- Phone
- (618) 397-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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