Individual
DIANA DIGIACOMO-CANELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
980 N FEDERAL HWY STE 110, BOCA RATON, FL 33432-2704
(860) 324-6841
Mailing address
231 NW 69TH ST, BOCA RATON, FL 33487-2390
(860) 324-6841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004161725
—
CT
01
—
1174624423
FACILITY NPI NUMBER
CT
05
—
1942393814
—
CT
Enumeration date
03/13/2007
Last updated
10/12/2023
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