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JEAN DIEVENDORF

Social Worker

NPI: 1184173981IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor — Mental Health

Code: 101YM0800X

SW16874(FL)

Social Worker — Clinical

Code: 1041C0700X

SW16874(FL)

Social Worker

Code: 104100000X

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2017

Contact & Hours

Via practice · 4 locations total

Address
2475 Palm Bay Rd NE, Suite 130 #4
Palm Bay, FL 32905

Quick Facts

NPI
1184173981
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
4
Years in Practice
9

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