DIANE M LONGO

ST AUGUSTINE, FL
NPI1497006050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW10907)
Enumeration Date2012-09-24
Last Update Date2012-09-24
Business Address
-- DIANE M LONGO LCSW
620 21ST ST
ST AUGUSTINE, FL 32084-1706
Phone number: 904-825-8091
Mailing Address
-- DIANE M LONGO LCSW
620 21ST ST
ST AUGUSTINE, FL 32084-1706
Phone number: 904-825-8091
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