Angela Dawn Diver, LISW, LICDC

NPI #1831255157 in Middletown, Ohio

Provider Information

NPI Number
1831255157
Entity Type
Individual
Name
Angela Dawn Diver, LISW, LICDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LISW, LICDC
Enumeration Date
Dec 29, 2006
Last Updated
Jan 20, 2010

Practice Location

Address
220 S BREIEL BLVD
Address 2
SUITE A
State
Ohio
ZIP Code
45044-5158
Phone
(513) 423-3327

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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