NPI 1013662881

Tracy a Diehl, LCSW

Practitioner Case Manager/Care Coordinator Dekalb, IL

Practice location

Address: 570 Devonaire Pkwy, Dekalb, IL 60115-8502
Phone: (815) 761-3382

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1013662881
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2022
Record last updated: 19 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.