Provider Demographics
NPI:1073551628
Name:DAUBLER, DIANNE DOBBS (MSW LISW CP CEAP)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:DOBBS
Last Name:DAUBLER
Suffix:
Gender:F
Credentials:MSW LISW CP CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SILVER FOX TRAIL
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681
Mailing Address - Country:US
Mailing Address - Phone:864-884-7642
Mailing Address - Fax:864-627-8754
Practice Address - Street 1:3150 SOUTH HIGHWAY 14
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-884-7642
Practice Address - Fax:864-627-8754
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC7200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC7200OtherSC HLT RELATED BRD OF SW