Longo, Diane M

Longo, Diane M is an sole proprietor health care provider with primary practice located at 620 21St St , St Augustine FL 32084-1706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Longo, Diane M can be contacted via phone (904) 825-8091.

Contact Information

Primary practice address
620 21St St St Augustine FL 32084-1706
Phone: (904) 825-8091
Fax: (904) 824-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10907 Florida

Profile Details

NPI number 1497006050
LBN Legal business name Longo, Diane M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2012
Last updated Sep 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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