| Marsha Tardivo, Lcsw, Pa | |
|
1035 S State Road 7 Suite 315-08 Wellington FL 33414-6134 | |
| (561) 452-0304 | |
| (561) 204-4177 |
| Full Name | Marsha Tardivo, Lcsw, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1035 S State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Marsha Nicole Tardivo (OWNER) |
| Authorized Official Contact | 5614520304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marsha Tardivo, Lcsw, Pa 4669 Island Reef Dr Wellington FL 33449-8398 Ph: (561) 452-0304 | Marsha Tardivo, Lcsw, Pa 1035 S State Road 7 Suite 315-08 Wellington FL 33414-6134 Ph: (561) 452-0304 |
| NPI Number | 1578881926 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578881926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7709 (Florida) | Primary |
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