Individual
DUSTIN STEPHEN HENNEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
29 FOUNTAIN OF YOUTH BLVD APT H, ST AUGUSTINE, FL 32080-4400
(904) 392-7723
Mailing address
29 FOUNTAIN OF YOUTH BLVD APT H, ST AUGUSTINE, FL 32080-4400
(904) 392-7723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/03/2025
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