| Beverley N Mucciardi Lcsw Pa | |
|
10100 W Sample Rd Suite 332 Coral Springs FL 33065-3973 | |
| (954) 825-0020 | |
| (954) 825-0044 |
| Full Name | Beverley N Mucciardi Lcsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10100 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Beverley Nitsch Mucciardi (PRESISDENT) |
| Authorized Official Contact | 9548250020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverley N Mucciardi Lcsw Pa 10100 W Sample Rd Suite 332 Coral Springs FL 33065-3973 Ph: (954) 825-0020 | Beverley N Mucciardi Lcsw Pa 10100 W Sample Rd Suite 332 Coral Springs FL 33065-3973 Ph: (954) 825-0020 |
| NPI Number | 1306924600 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306924600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW 5218 (Florida) | Primary |
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