Individual
MS. DEBORAH MARY NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 W MAIN ST STE 300, INVERNESS, FL 34450-4807
(352) 476-3164
Mailing address
111 WEST MAIN STREET, SUITE 300, INVERNESS, FL 34450
(352) 476-3164
(352) 423-1351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1026997
MA
1041C0700X
Clinical Social Worker
Primary
12845
FL
1041C0700X
Clinical Social Worker
5608
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012450
FALLON COMM HP
MA
01
—
P07591
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/28/2006
Last updated
02/17/2024
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