Most Relevant Information
Provider Data
| NPI Number: | 1003028960 |
| Provider Name: | DIANA MARIE HAROLD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2001021755 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2751 THOMAS DR
CAPE GIRARDEAU
MO
637012131
Practice Location Phone/Fax
| Phone: | 5733342889 |
| Fax: | 5736519152 |
Provider Mailing Location
2751 THOMAS DR
CAPE GIRARDEAU
MO
637012131
Provider Mailing Phone/Fax
| Phone: | 5733342889 |
| Fax: | 5736519152 |