Edward Clewell

NPI 1205102084 - Social Worker - 104100000X

NPI Details
NPI 1205102084
Gender Male
Enumeration Date 03/27/2012
Last Updated 03/27/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9470 HEALTHPARK CIR
FORT MYERS FL, 33908-3600, US
Phone (239) 433-8073
Fax
Business Location
9470 HEALTHPARK CIR
FORT MYERS FL, 33908-3600, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Florida
License Number SW5299
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According to our database, Edward Clewell NPI is 1205102084, taxonomy code is 104100000X and license number is SW5299, license state is located at Florida. Edward Clewell physically located at 9470 Healthpark Cir, Fort Myers FL, 33908-3600. NPI Number Edward Clewell has the Individual type.

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1205102084 NPI number is provided on an as is basis without warranty of any kind. 1205102084 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Clewell are for informational purposes only.