Most Relevant Information
Provider Data
| NPI Number: | 1003022534 |
| Provider Name: | DIANE HUTT ANDERSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCS 22996 |
Most Important Dates
| Enumeration Date: | 05/14/2007 |
| Last Updated: | 08/04/2014 |
Provider Practice Location
2605 E. FOOTHILL BOULEVARD
#109
GLENDORA
CA
91740
Practice Location Phone/Fax
| Phone: | 9099676236 |
| Fax: | 9098619371 |
Provider Mailing Location
2605 E FOOTHILL BLVD
# 109
GLENDORA
CA
917404003
Provider Mailing Phone/Fax
| Phone: | 9099676236 |
| Fax: | 9098619371 |