DIANE BRACAMONTES, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1306089974
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149013539 (IL) |
Frequently Asked Questions
NPI 1306089974 is the National Provider Identifier for DIANE BRACAMONTES, LCSW, a Social Worker - Clinical provider located in Maryville, IL. This NPI was enumerated on April 13, 2009.
DIANE BRACAMONTES, LCSW practices at 2016 VADALABENE DR STE A, Maryville, IL 62062.
Quick Facts
- NPI
- 1306089974
- Type
- Individual
- Enumerated
- Apr 13, 2009
- Last Updated
- Mar 8, 2016
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