Most Relevant Information
Provider Data
| NPI Number: | 1003291337 |
| Provider Name: | ALLISON DIANE HEBERT STAINTON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW12457 |
Most Important Dates
| Enumeration Date: | 07/28/2015 |
| Last Updated: | 05/24/2018 |
Provider Practice Location
6152 DELANCEY STATION ST STE 206
RIVERVIEW
FL
33578
Practice Location Phone/Fax
| Phone: | 8134456122 |
| Fax: | 8134456122 |
Provider Mailing Location
11235 GRAND WINTHROP AVE
RIVERVIEW
FL
335784671
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |