Individual
DUSTYN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8483
Mailing address
759 CALIENTE DR, BRANDON, FL 33511-7939
(843) 812-7283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20316
FL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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