Individual
MRS. DIANE LYNN METAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 ATHABASCA DR, KISSIMMEE, FL 34759-5909
(954) 297-3439
Mailing address
111 ATHABASCA DR, KISSIMMEE, FL 34759-5909
(954) 297-3439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17237
FL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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