Individual
MRS. A LAVERNE FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 319-1004
Mailing address
1229 63RD TER S, ST PETERSBURG, FL 33705-5841
(727) 867-1485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW3908
FL
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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