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Individual

MR. DANIEL DEFRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6700 34TH AVE N, ST PETERSBURG, FL 33710-1517
(727) 638-0734
Mailing address
6700 34TH AVE N, ST PETERSBURG, FL 33710-1517
(727) 638-0734

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3387
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000763500
FL
05
002881400
FL
Enumeration date
04/02/2007
Last updated
12/11/2018
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