Individual
DEBORAH ANN TOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
Mailing address
1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316-2875
(954) 885-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11507
TX
1041C0700X
Clinical Social Worker
Primary
SW17465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L126
BLUE CROSS/BLUE SHIELD
TX
05
—
159867401
—
TX
01
—
87330Q
TRICARE
TX
Enumeration date
08/30/2006
Last updated
08/25/2020
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