Individual
DEBORAH D. HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 EXECUTIVE WAY, SUITE 113, PONTE VEDRA BEACH, FL 32082
(904) 273-6747
(904) 273-6861
Mailing address
PO BOX 721, PONTE VEDRA BEACH, FL 32004-0721
(904) 273-6747
(904) 273-6861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121221900216
CCN
FL
Enumeration date
10/11/2006
Last updated
09/19/2012
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