Individual provider · NPI-1
Diane Lynn Cruseturner, LCSW
Social Worker, Clinical · Rockwall, TX
NPI number1164525549
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1164525549
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Diane Lynn Cruseturner
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2006
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 69350 | TX | Yes |
Practice location
951 Briar Oaks DrRockwall, TX 75087-6520
Phone 501-681-0494
Mailing address
951 Briar Oaks DrRockwall, TX 75087-6520
Phone 501-681-0494
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