Individual
MICHELE PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 COLONIAL RD STE 100, FORT PIERCE, FL 34950-5309
(772) 489-4726
Mailing address
12119 S INDIAN RIVER DR, JENSEN BEACH, FL 34957-2209
(772) 559-0514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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