Most Relevant Information
Provider Data
| NPI Number: | 1003429796 |
| Provider Name: | DIANE K CLUKEY CHENARD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW17483 |
Most Important Dates
| Enumeration Date: | 08/24/2020 |
| Last Updated: | 08/24/2020 |
Provider Practice Location
230 TAMIAMI TRL S STE 3
VENICE
FL
342852453
Practice Location Phone/Fax
| Phone: | 9414733838 |
| Fax: |
Provider Mailing Location
200 THE ESPLANADE N APT B2
VENICE
FL
342851541
Provider Mailing Phone/Fax
| Phone: | 7278087702 |
| Fax: |