Individual
MRS. DEIDRA CHANTEL OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
259 BILL FRANCE BLVD, SUITE 200, DAYTONA BEACH, FL 32114-1316
(386) 479-5585
Mailing address
1600 LANGAN AVE, DELTONA, FL 32738-5252
(386) 479-5585
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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