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2940 E Park Ave Unit 2-j Tallahassee FL 32301-3446 | |
| (850) 405-3639 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2940 E Park Ave Unit 2-j, Tallahassee, Florida |
| Authorized Official Name and Position | Marissa Batie-collier (ADMINISTRATOR) |
| Authorized Official Contact | 8506884426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3821 Castleberry Dr Tallahassee FL 32303-2113 Ph: (850) 688-4426 | 2940 E Park Ave Unit 2-j Tallahassee FL 32301-3446 Ph: (850) 405-3639 |
| NPI Number | 1790381184 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790381184 | NPI | - | NPPES |
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