Individual
MS. DIANN FOX GERONEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2808 NE 22ND ST, FORT LAUDERDALE, FL 33305-2804
(954) 564-9460
(954) 564-1371
Mailing address
2808 NE 22ND ST, FORT LAUDERDALE, FL 33305-2804
(954) 564-1371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW391
FL
Other
Enumeration date
06/20/2011
Last updated
05/29/2014
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