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1221 N Palm Ave Apt 101 Sarasota FL 34236-5632 | |
(941) 356-5393 | |
Not Available |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 1221 N Palm Ave Apt 101, Sarasota, Florida |
Authorized Official Name and Position | Katherine Ann Best (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9413565393 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1058 N Tamiami Trl Ste 108-176 Sarasota FL 34236-2416 Ph: (941) 356-5393 | 1221 N Palm Ave Apt 101 Sarasota FL 34236-5632 Ph: (941) 356-5393 |
NPI Number | 1730268194 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 07/15/2020 |
Certification Date | 07/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730268194 | NPI | - | NPPES |
Z106G | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | SW#7395 (Florida) | Primary |
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