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Individual

AUDREY FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SOCIAL WORKER

Contact information

Practice address
13266 BOCCALA LN, ESTERO, FL 33928-6501
(239) 676-7089
Mailing address
13266 BOCCALA LN, ESTERO, FL 33928-6501
(239) 676-7089

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/28/2016
Last updated
01/05/2017
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