Individual
MS. DANA L BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2320 3RD ST S STE 300, JACKSONVILLE BEACH, FL 32250-4058
(904) 545-3239
Mailing address
2320 3RD ST S STE 300, JACKSONVILLE BEACH, FL 32250-4058
(904) 545-3239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW5986
STATE OF FLORIDA
FL
Enumeration date
06/14/2009
Last updated
10/04/2011
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