KENN ALAN DIKO

LOGANSPORT, IN
NPI1942379680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34001537A)
Enumeration Date2006-11-07
Last Update Date2010-10-22
Business Address
Mr. KENN ALAN DIKO LCSW
6 CHASE PARK
LOGANSPORT, IN 46947-1553
Phone number: 574-732-1166
Mailing Address
Mr. KENN ALAN DIKO LCSW
2957 S PEORIA DR
PERU, IN 46970-7097
Phone number:
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