| NPI | 1508345521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALLEN Credentialing Specialist 813-361-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9563) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-09-20 |