Individual
MS. DIANA MOUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1351 SOMERSET AVE, GROSSE POINTE PARK, MI 48230-1030
(850) 910-2523
Mailing address
6360 E BAY BLVD, GULF BREEZE, FL 32563-9732
(850) 910-2523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801080235
MI
1041C0700X
Clinical Social Worker
SW11592
FL
Other
Enumeration date
05/08/2006
Last updated
08/08/2022
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