MISS Olivia Diana Easley

NPI #1023597457 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1023597457
Entity Type: Individual
Name: MISS Olivia Diana Easley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 7, 2018
Last Updated: Aug 7, 2018

Practice Location

Address: 226 SW CHERRYHILL RD
City: Port Saint Lucie
State: Florida
ZIP Code: 34953-6234
Phone: (561) 401-3408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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