Individual
DWANA M STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 26TH ST W, BRADENTON, FL 34207-3012
(941) 708-8500
(941) 708-8503
Mailing address
700 8TH AVE W, SUITE 101, PALMETTO, FL 34221-4737
(941) 776-4000
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
11/22/2016
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