Individual
CECELIA MARY MAGAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SE HILLMOOR DR, SUITE 17, PORT ST LUCIE, FL 34952-7552
(772) 335-9808
(772) 335-9818
Mailing address
17 HARBOUR ISLE DR W PH 6, FORT PIERCE, FL 34949-2769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW4883
FL
Other
Enumeration date
12/02/2011
Last updated
07/03/2012
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