Individual
DIANE PROSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8217 OLD GROVE DR, ORLANDO, FL 32818-5687
(407) 576-6437
Mailing address
8217 OLD GROVE DR, ORLANDO, FL 32818-5687
(407) 576-6437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH20483
FL
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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