| Lori Prince Lcsw Pa | |
|
1135 Pasadena Ave S Ste 311 South Pasadena FL 33707-2856 | |
| (727) 458-9506 | |
| (954) 944-2019 |
| Full Name | Lori Prince Lcsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1135 Pasadena Ave S Ste 311, South Pasadena, Florida |
| Authorized Official Name and Position | Lori Prince (PRESIDENT) |
| Authorized Official Contact | 7274589506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Prince Lcsw Pa 1135 Pasadena Ave S Ste 311 South Pasadena FL 33707-2856 Ph: (727) 458-9506 | Lori Prince Lcsw Pa 1135 Pasadena Ave S Ste 311 South Pasadena FL 33707-2856 Ph: (727) 458-9506 |
| NPI Number | 1821438748 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821438748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2964 (Florida) | Primary |
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