Individual
MS. DIANA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 PONDELLA RD STE 9, NORTH FORT MYERS, FL 33903-4340
(239) 652-0260
(239) 652-0146
Mailing address
16100 S POST RD APT 202, WESTON, FL 33331-3542
(754) 281-2911
(239) 332-4977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW5566
PROFESSIONAL LICENSE
FL
Enumeration date
07/20/2009
Last updated
09/22/2021
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