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DIANA BAKER BRUMMER MSW, LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1720504517
Individual Registrant: DIANA BAKER BRUMMER MSW, LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
157 HAMPTON POINT DR STE 1 SAINT AUGUSTINE, FL 32092-3054 US
Tel: 904-419-7435 Fax: --
Tel: 904-419-7435 Fax: --
Contact information for business:
PO BOX 600903 JACKSONVILLE, FL 32260-0903 US
Tel: 904-419-7435 Fax: --
Tel: 904-419-7435 Fax: --
Registration Information:
NPI: 1720504517
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | FL | SW16491 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
