Individual
MRS. DIANA J SILLS BAILIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
796 TERRACE ROAD, DUNEDIN, FL 34698
(727) 953-7505
Mailing address
796 TERRACE ROAD, DUNEDIN, FL 34698
(727) 953-7505
(727) 408-5710
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SW10693
FL
Other
Enumeration date
08/11/2006
Last updated
04/27/2015
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