Organization
DEBORAH D. HANNA LCSW PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH D HANNA LCSW (OWNER)
(904) 273-6747
Entity
Organization
Contact information
Practice address
100 EXECUTIVE WAY, SUITE 113, PONTE VEDRA BEACH, FL 32082-2715
(904) 273-6747
(904) 273-6861
Mailing address
PO BOX 721, PONTE VEDRA BEACH, FL 32004-0721
(904) 273-6747
(904) 273-6861
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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