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Individual

DANIEL WESLEY LUOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, CAP, CMHP

Contact information

Practice address
220 S HIGHWAY 79, PANAMA CITY BEACH, FL 32413-2151
(850) 249-4300
(850) 640-1174
Mailing address
220 S HIGHWAY 79, PANAMA CITY BEACH, FL 32413-2151
(850) 249-4300
(850) 640-1174

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
11/21/2011
Last updated
11/21/2011
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