DIANE BRACAMONTES

MARYVILLE, IL
NPI1306089974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149013539)
Enumeration Date2009-04-13
Last Update Date2016-03-08
Business Address
-- DIANE BRACAMONTES LCSW
2016 VADALABENE DR STE A
MARYVILLE, IL 62062-6901
Phone number: 618-823-6444
Mailing Address
-- DIANE BRACAMONTES LCSW
2016 VADALABENE DR STE A
MARYVILLE, IL 62062-6901
Phone number: 618-823-6444
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