Individual
COURTNEY DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 US HIGHWAY 19, PORT RICHEY, FL 34668-4664
(727) 494-7609
Mailing address
4003 S WEST SHORE BLVD APT 2604, TAMPA, FL 33611-1033
(813) 441-2831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900341538
—
FL
Enumeration date
11/26/2018
Last updated
11/26/2018
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