Most Relevant Information
Provider Data
| NPI Number: | 1003059007 |
| Provider Name: | DANA LESLIE FOOTE M.S.W |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/07/2009 |
| Last Updated: | 04/07/2009 |
Provider Practice Location
2001 W BLUE HERON BLVD
RIVIERA BEACH
FL
334045003
Practice Location Phone/Fax
| Phone: | 5618413500 |
| Fax: |
Provider Mailing Location
2001 W BLUE HERON BLVD
RIVIERA BEACH
FL
334045003
Provider Mailing Phone/Fax
| Phone: | 5618413500 |
| Fax: |