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NPI Code Detail

MEDICARE: MRS. DIANNE FARRAR LCSW

MEDICARE: MRS. DIANNE FARRAR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34001351AIN

General Provider Information

NPI Number : 1851450001
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANNE FARRAR LCSW
Provider Business Mailing Address
First Line : 2530 SANDCREST BLVD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3047
Country : US
Telephone Number : 812-371-1044
Fax Number : 812-372-3692
Provider Business Practice Location Address
First Line : 2530 SANDCREST BLVD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3047
Country : US
Telephone Number : 812-371-1044
Fax Number : 812-372-3692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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