Gruen-Kidd, Diane M
Gruen-Kidd, Diane M is an individual health care provider with primary practice located at 110 Roach St , Georgetown KY 40324-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gruen-Kidd, Diane M can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
110 Roach St
Georgetown KY 40324-9393
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1892 | Kentucky |
Profile Details
| NPI number | 1841349735 |
|---|---|
| LBN Legal business name | Gruen-Kidd, Diane M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841349735 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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