| Kristin Stallard | |
|
501 6th Ave S St Petersburg FL 33701-4634 | |
| (727) 767-4403 | |
| Not Available |
| Full Name | Kristin Stallard |
|---|---|
| Speciality | Social Worker |
| Location | 501 6th Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Kristin Stallard (SERVICE COORDINATOR) |
| Authorized Official Contact | 7277676724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Stallard 501 6th Ave S St Petersburg FL 33701-4634 Ph: () - | Kristin Stallard 501 6th Ave S St Petersburg FL 33701-4634 Ph: (727) 767-4403 |
| NPI Number | 1508161183 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508161183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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