Individual
PROF. SANDRA MOXLEY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, MSW, CHT
Contact information
Practice address
915 MIDDLE RIVER DR STE 103B, FT LAUDERDALE, FL 33304-3584
(800) 723-9788
(800) 723-9788
Mailing address
915 MIDDLE RIVER DR STE 103B, FT LAUDERDALE, FL 33304-3584
(800) 723-9788
(800) 723-9788
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881014405
ORGANIZATION NPI
—
Enumeration date
10/12/2018
Last updated
10/12/2018
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