| Jill A Hartog Lcsw Pa | |
|
9150 Sw 87th Ave Suite 202 Miami FL 33176-2319 | |
| (305) 274-0018 | |
| Not Available |
| Full Name | Jill A Hartog Lcsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9150 Sw 87th Ave, Miami, Florida |
| Authorized Official Name and Position | Jill Ann Hernandez (PRESIDENT) |
| Authorized Official Contact | 3052740018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill A Hartog Lcsw Pa 9150 Sw 87th Ave Suite 202 Miami FL 33176-2319 Ph: (305) 274-0018 | Jill A Hartog Lcsw Pa 9150 Sw 87th Ave Suite 202 Miami FL 33176-2319 Ph: (305) 274-0018 |
| NPI Number | 1083876254 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083876254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW1717 (Florida) | Primary |
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