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108 Lincoln Rd Nw Lake Placid FL 33852-9728 | |
| (863) 243-1011 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 108 Lincoln Rd Nw, Lake Placid, Florida |
| Authorized Official Name and Position | Michael W Reynolds (PRESIDENT) |
| Authorized Official Contact | 8632431011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
108 Lincoln Rd Nw Lake Placid FL 33852-9728 Ph: (863) 243-1011 | 108 Lincoln Rd Nw Lake Placid FL 33852-9728 Ph: (863) 243-1011 |
| NPI Number | 1609184498 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609184498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7514 (Florida) | Primary |
Unique Aba Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 Rutledge Ave, Lake Placid, FL 33852 Phone: 786-286-1753 Fax: 754-732-4242 |