Individual
DAWN WILLEY EARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4250 66TH ST N, KENNETH CITY, FL 33709-4918
(727) 546-2405
Mailing address
8538 GRAVE AVE, NEW PORT RICHEY, FL 34654-4914
(727) 798-1438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9781
FL
Other
Enumeration date
07/09/2012
Last updated
04/16/2019
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