Individual
DR. MICHAEL SHANE BERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 SCOTT LN, JONESBOROUGH, TN 37659-1526
(727) 518-5890
Mailing address
120 SCOTT LN, JONESBOROUGH, TN 37659-1526
(727) 518-5890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009600
VA
1041C0700X
Clinical Social Worker
SW12174
FL
Other
Enumeration date
04/12/2020
Last updated
07/07/2020
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