Individual
DIANNORIA WYSTERIA GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
5107 CARDINAL COVE CIR, SANFORD, FL 32771-6332
(724) 920-2692
Mailing address
5107 CARDINAL COVE CIR, SANFORD, FL 32771-6332
(724) 920-2692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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