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Individual

DIANE C HASKILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5112 MANDAVILLA BLVD, GULF BREEZE, FL 32563-8934
(734) 657-4153
Mailing address
5112 MANDAVILLA BLVD, GULF BREEZE, FL 32563-8934
(734) 657-4153

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8801
FL

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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