DIANE M. DIGERONIMO, LCSW, PA
Social Work at Highway A1A, Melbourne, FL

License number
Florida SW2181
Category
Social Work
Type
Clinical
Owner
Name: MS. DIANE M DIGERONIMO LCSW
Title: PRESIDENT
Phone: (321) 777-8930
Address
Address
2194 Highway A1A SUITE 203, Melbourne, FL 32937
National Provider ID: 1699077891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Diane M. Digeronimo, L.C.S.W., PA

2194 Hwy A1A, Melbourne, FL 32937

Registration:
Jan 23, 1991
State ID:
S27102
Business type:
Domestic for Profit Corporation
President, Secretary:
Diane M. Digeronimo (President, Secretary)
Agent:
Gary B. Frese

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