Individual
ANNE GRETHE DIFINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 62ND AVE, HOLLYWOOD, FL 33023
(914) 319-5039
Mailing address
1211 CITRUS ISLE, FORT LAUDERDALE, FL 33315-1321
(914) 319-5039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
079423
NY
1041C0700X
Clinical Social Worker
082947-1
NY
1041C0700X
Clinical Social Worker
Primary
SW12997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE ID
NY
Enumeration date
08/18/2008
Last updated
11/28/2018
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