Individual
EMILY DIANE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3349 N UNIVERSITY DR, SUITE 4, HOLLYWOOD, FL 33024-9000
(954) 885-9500
(954) 885-9444
Mailing address
934 N UNIVERSITY DR, PMB 206, CORAL SPRINGS, FL 33071-7029
(954) 885-9500
(954) 885-9444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1747
FL
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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