Dawna Marie Haswell | |
555 N Byron Butler Pkwy Perry FL 32347-2315 | |
(850) 329-5776 | |
Not Available |
Full Name | Dawna Marie Haswell |
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Speciality | Social Worker - Clinical |
Location | 555 N Byron Butler Pkwy, Perry, Florida |
Authorized Official Name and Position | Dawna Haswell (OWNER) |
Authorized Official Contact | 8503295776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dawna Marie Haswell Po Box 1726 Perry FL 32348-7305 Ph: (850) 329-5776 | Dawna Marie Haswell 555 N Byron Butler Pkwy Perry FL 32347-2315 Ph: (850) 329-5776 |
NPI Number | 1013346345 |
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Provider Enumeration Date | 11/07/2013 |
Last Update Date | 08/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013346345 | NPI | - | NPPES |
008433700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW11077 (Florida) | Primary |
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