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Individual

MRS. DIANE C ADDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4835 27TH ST WEST #125, BRADENTON, FL 34207
(941) 753-0064
(941) 753-2977
Mailing address
4835 27TH ST W STE 125, BRADENTON, FL 34207-1759

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW14506
FL
1041C0700X
Clinical Social Worker
34010761A
IN
1041C0700X
Clinical Social Worker
I 0700414
OH
1041C0700X
Clinical Social Worker
I.0700414-SUPV
OH
1041C0700X
Clinical Social Worker
Primary
SW14506
FL

Other

Enumeration date
11/15/2009
Last updated
09/10/2025
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