Diana Grace Mack
Diana Grace Mack is a Clinical Social Worker in Glendale, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
1540 E Colorado StGlendale, CA 91205-1514
Phone: (818) 244-7257
Fax: (818) 243-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence LCSW73928 (CA) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence LCSW 73928 (CA) |
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1174958409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 5, 2013 |
| Last updated in NPPES | December 3, 2021 |
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