Diane Lois Koranda is a Clinical in Duluth, Minnesota. Diane Lois Koranda practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Lois Koranda is 1700078805. The last update date is 2007-08-13.
Diane Lois Koranda's current location address is 320 W 2nd St, Duluth, Minnesota. You can contact this provider via phone number 2187262995 and fax number 2187255186. The mailing address for Diane Lois Koranda is 320 W 2nd St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Diane Lois Koranda |
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Address | 320 W 2nd St, Duluth, Minnesota |
Phone Number | 2187262995 |
Fax Number | 2187255186 |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1700078805 |
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Provider Enumeration Date | 2007-08-13 |
Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
Address | 320 W 2nd St |
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City | Duluth |
State | Minnesota (MN) |
Post Code | 558021404 |
Phone Number | 2187262995 |
Fax Number | 2187255186 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 8565 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code assigned to Diane Lois Koranda by the Centers for Medicare & Medicaid Services?
The Diane Lois Koranda has been issued the NPI (National Provider Identifier) 1700078805, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Diane Lois Koranda's facilities are geographically located?
The facilities of Diane Lois Koranda are physically situated at the following location: 320 W 2Nd St, Duluth, MN, 558021404.
What is Diane Lois Koranda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane Lois Koranda's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Diane Lois Koranda receive its 1700078805 assignment from the Centers for Medicare & Medicaid Services?
The Diane Lois Koranda was assigned its 1700078805 on 2007-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Diane Lois Koranda most recently updated or revised?
The details related to Diane Lois Koranda, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-13.
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