Amanda Mae Diaczenko, MSW, LGSW

NPI #1710497078 in Mount Hope, West Virginia

Provider Information

NPI Number: 1710497078
Entity Type: Individual
Name: Amanda Mae Diaczenko, MSW, LGSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: MSW, LGSW
Enumeration Date: Oct 1, 2017
Last Updated: Oct 1, 2017

Practice Location

Address: 218 SENECA DR
City: Mount Hope
State: West Virginia
ZIP Code: 25880-8833
Phone: (681) 220-9366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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