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DIANA BAKER BRUMMER MSW, LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1720504517

Individual Registrant:
 DIANA BAKER BRUMMER MSW, LCSW
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: --

Contact information for business:
PO BOX 600903  JACKSONVILLE, FL 32260-0903 US
Tel: 904-419-7435  Fax: --

Registration Information:
NPI: 1720504517
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW16491

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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