| Amy Fodor, Lcsw, Inc | |
|
699 17th St Suite D Vero Beach FL 32960-6251 | |
| (772) 766-2069 | |
| (772) 918-8468 |
| Full Name | Amy Fodor, Lcsw, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 699 17th St, Vero Beach, Florida |
| Authorized Official Name and Position | Amy Elizabeth Fodor (PRESIDENT) |
| Authorized Official Contact | 7727662069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Fodor, Lcsw, Inc 801 Grandin Ave Sebastian FL 32958-5125 Ph: (772) 766-2069 | Amy Fodor, Lcsw, Inc 699 17th St Suite D Vero Beach FL 32960-6251 Ph: (772) 766-2069 |
| NPI Number | 1154602878 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154602878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW3798 (Florida) | Primary |
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