Jean Elyse Dievendorf

NPI #1184173981 in Palm Bay, Florida

Provider Information

NPI Number
1184173981
Entity Type
Individual
Name
Jean Elyse Dievendorf
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Enumeration Date
Sep 22, 2016
Last Updated
Feb 14, 2024

Practice Location

Address
6050 BABCOCK ST SE STE 32
State
Florida
ZIP Code
32909-4205
Phone
(321) 684-8265

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical
Social Worker

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