Individual
BEVERLEY N MUCCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10100 W SAMPLE RD, SUITE 332, CORAL SPRINGS, FL 33065-3973
(954) 825-0020
(954) 825-0044
Mailing address
10100 W SAMPLE RD, SUITE 332, CORAL SPRINGS, FL 33065-3973
(954) 825-0020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5218
FL
Other
Enumeration date
05/09/2006
Last updated
04/15/2008
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