Provider Information for 1316202153
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DAWN WILLEY EARLS LCSW
Sex: Female
NPI: 1316202153
Last Updated: 2019-04-16
Certification Date:
Certification Date:
Details
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NPI | 1316202153 | ||||||||
Enumeration Date | 2012-07-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 8538 GRAVE AVE NEW PORT RICHEY, FL 34654-4914 United States Phone: 727-798-1438 | Fax: | ||||||||
Primary Practice Address | 4250 66TH ST N KENNETH CITY, FL 33709-4918 United States Phone: 727-546-2405 | Fax: | ||||||||
Secondary Practice Address(es) | 3804 GUNN HWY | ||||||||
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