| Peter Dimanno Lcsw Apc | |
|
1503 N Imperial Ave 205 El Centro CA 92243-6301 | |
| (760) 352-4773 | |
| (760) 352-4747 |
| Full Name | Peter Dimanno Lcsw Apc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1503 N Imperial Ave, El Centro, California |
| Authorized Official Name and Position | Peter Dimanno (OWNER) |
| Authorized Official Contact | 7603524773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Dimanno Lcsw Apc 1503 N Imperial Ave 205 El Centro CA 92243-6301 Ph: (760) 352-4773 | Peter Dimanno Lcsw Apc 1503 N Imperial Ave 205 El Centro CA 92243-6301 Ph: (760) 352-4773 |
| NPI Number | 1093037608 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093037608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS10084 (California) | Primary |
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