Maciel, Diane Grow

Maciel, Diane Grow is an sole proprietor health care provider with primary practice located at 1439 E 230 S , Spanish Fork UT 84660-6318. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Maciel, Diane Grow can be contacted via phone (801) 404-2778.

Contact Information

Primary practice address
1439 E 230 S Spanish Fork UT 84660-6318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 136395-3501 Utah

Profile Details

NPI number 1578786364
LBN Legal business name Maciel, Diane Grow
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers