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Individual

ELIZABETH MAE KEMFORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
9631 58TH ST E, PARRISH, FL 34219-4561
(941) 545-7541

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW12952
SC
1041C0700X
Clinical Social Worker
Primary
SW17975
FL

Other

Enumeration date
03/31/2019
Last updated
04/26/2022
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