Individual
DYLAN STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
247 S 20TH ST, DEFUNIAK SPRINGS, FL 32435-2201
(850) 842-6573
Mailing address
247 S 20TH ST, DEFUNIAK SPRINGS, FL 32435-2201
(850) 842-6573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW14023
FL
1041C0700X
Clinical Social Worker
Primary
SW20407
FL
Other
Enumeration date
02/17/2022
Last updated
11/25/2025
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