Individual
DIANE BOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8950 SW 74TH CT STE 2201, MIAMI, FL 33156-3181
(929) 430-7519
Mailing address
708 W 51ST ST APT 7, MIAMI BEACH, FL 33140-2645
(646) 206-6156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
101198
NY
1041C0700X
Clinical Social Worker
Primary
091062
NY
1041C0700X
Clinical Social Worker
22958
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/14/2020
Last updated
05/27/2024
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