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NPI Code Detail

MEDICARE: DR. DIANE KRAMER DSW MSW LCSW BCD

MEDICARE:  DR. DIANE  KRAMER  DSW MSW LCSW BCD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSW3734FL

General Provider Information

NPI Number : 1457548612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE KRAMER DSW MSW LCSW BCD
Provider Business Mailing Address
First Line : 5722 WILLOW CREEK LANE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-6939
Country : US
Telephone Number : 561-496-5208
Fax Number : 561-496-5208
Provider Business Practice Location Address
First Line : 5722 WILLOW CREEK LANE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-6939
Country : US
Telephone Number : 561-496-5208
Fax Number : 561-496-5208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2007
Last Update Date : 10/01/2007

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Directions to “ DR. DIANE KRAMER DSW MSW LCSW BCD” Practice Location

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