Individual
DARA A FRUSTACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1035 S STATE ROAD 7, SUITE 315-21, WELLINGTON, FL 33414-6134
(561) 714-8618
(561) 828-9272
Mailing address
2599 YARMOUTH DR, WELLINGTON, FL 33414-7660
(561) 795-0485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8965
FL
Other
Enumeration date
05/08/2009
Last updated
05/12/2009
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