Individual
DANI DIMITROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 BRANTLEY HARBOR DR, SAINT AUGUSTINE, FL 32086-1822
(203) 300-3335
(940) 574-4096
Mailing address
204 BRANTLEY HARBOR DR, SAINT AUGUSTINE, FL 32086-1822
(203) 300-3335
(940) 574-4096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009620
CT
1041C0700X
Clinical Social Worker
SW17048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13817474
CAQH
CT
Enumeration date
04/25/2016
Last updated
03/16/2022
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