Individual
DIANA DUSENBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CCM
Contact information
Practice address
1426 S TUTTLE AVE, SARASOTA, FL 34239-2605
(941) 960-2565
Mailing address
1426 S TUTTLE AVE, SARASOTA, FL 34239-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14817
FL
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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