Individual
MRS. ANDREA NICOLE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
326 CROTON RD, MELBOURNE, FL 32935-6340
(321) 752-3170
Mailing address
326 CROTON RD, MELBOURNE, FL 32935-6340
(321) 752-3170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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