Peter Dimanno, PETER DIMANNO
Social Worker, Clinical in El Centro, CA. Individual provider (NPI-1).
NPI number1124157565
StatusActive
Last updated in NPPESFeb 5, 2010
Details
- NPI
- 1124157565
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter Dimanno
- Credential
- PETER DIMANNO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2007
- Last updated
- Feb 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS10084 | CA | Yes |
Other names
- Peter Dimanno (Professional Name)
Practice location
1503 N Imperial AveSuite 205
El Centro, CA 92243-6301
Phone 760-352-4773 · Fax 760-352-4747
Mailing address
1503 N Imperial AveSuite 205
El Centro, CA 92243-6301
Phone 760-352-4773 · Fax 760-352-4747
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