Individual
DIANA COURSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
17567 S DIXIE HWY, MIAMI, FL 33157-5435
(786) 293-9544
(786) 293-9594
Mailing address
18356 NW 47TH AVE, MIAMI GARDENS, FL 33055-2934
(786) 953-4612
(786) 953-8534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320071000
—
FL
Enumeration date
06/11/2006
Last updated
05/18/2016
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