Amy Fodor, Lcsw, Inc

NPI 1154602878 - Social Worker - 1041C0700X

NPI Details
NPI 1154602878
Enumeration Date 09/08/2011
Last Updated 09/08/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AMY ELIZABETH AMY
Position PRESIDENT
Phone (772) 766-2069
Fax (772) 918-8468
Practice Location
699 17TH ST
SUITE D
VERO BEACH FL, 32960-6251, US
Phone (772) 766-2069
Fax (772) 918-8468
Business Location
801 GRANDIN AVE
SEBASTIAN FL, 32958-5125, US
Phone (772) 766-2069
Fax (772) 918-8468
Toxanomy
Taxonomy Code 1041C0700X
License State Florida
License Number SW3798
Remove 1154602878 NPI Number
 

According to our database, Amy Fodor, Lcsw, Inc NPI is 1154602878, taxonomy code is 1041C0700X and license number is SW3798, license state is located at Florida. Amy Fodor, Lcsw, Inc physically located at 699 17th St, Vero Beach FL, 32960-6251. NPI Number 1033115704 has the healthcare provider type.

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1154602878 NPI number is provided on an as is basis without warranty of any kind. 1154602878 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Fodor, Lcsw, Inc are for informational purposes only.