Individual
DIANA BAKER BRUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
157 HAMPTON POINT DR STE 1, SAINT AUGUSTINE, FL 32092-3054
(904) 419-7435
Mailing address
PO BOX 600903, JACKSONVILLE, FL 32260-0903
(904) 419-7435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16491
FL
Other
Enumeration date
08/14/2017
Last updated
07/22/2019
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