Tracy A Portz LCSW

NPI 1215245311 - Social Worker - 1041C0700X

NPI Details
NPI 1215245311
Gender Female
Enumeration Date 09/23/2010
Last Updated 02/27/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
505 BREVARD AVE
106
COCOA FL, 32922-7973, US
Phone (321) 632-5792
Fax
Business Location
505 BREVARD AVE
106
COCOA FL, 32922-7973, US
Phone (321) 632-5792
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW9780
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According to our database, Mrs. Tracy A Portz LCSW NPI is 1215245311, taxonomy code is 1041C0700X and license number is SW9780, license state is located at Florida. Tracy A Portz LCSW physically located at 505 Brevard Ave, Cocoa FL, 32922-7973. NPI Number Tracy A Portz LCSW has the Individual type.

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1215245311 NPI number is provided on an as is basis without warranty of any kind. 1215245311 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy A Portz LCSW are for informational purposes only.