Individual
MS. DIANE T COLONNELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
8192 COLLEGE PKWY, STE 50, FORT MYERS, FL 33919-5405
(239) 275-9665
(239) 267-4438
Mailing address
8192 COLLEGE PKWY, STE. 50, FORT MYERS, FL 33919
(239) 275-9665
(239) 267-4438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1700
FL
Other
Enumeration date
06/16/2005
Last updated
08/24/2010
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