| Diana M. Cline, Llc | |
|
23 N Scott St Ste 21a Sheridan WY 82801-6338 | |
| (307) 751-7916 | |
| (307) 672-8286 |
| Full Name | Diana M. Cline, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 23 N Scott St Ste 21a, Sheridan, Wyoming |
| Authorized Official Name and Position | Diana Cline (OWNER) |
| Authorized Official Contact | 3077517916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana M. Cline, Llc Po Box 7282 Sheridan WY 82801-7005 Ph: (307) 751-7916 | Diana M. Cline, Llc 23 N Scott St Ste 21a Sheridan WY 82801-6338 Ph: (307) 751-7916 |
| NPI Number | 1033676267 |
|---|---|
| Provider Enumeration Date | 02/24/2019 |
| Last Update Date | 02/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033676267 | NPI | - | NPPES |
| 134629600 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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