Individual
TERRI LYNN TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(239) 332-8009
(239) 332-4977
Mailing address
2180 MARAVILLA LN, FORT MYERS, FL 33901-7221
(239) 332-8009
(239) 332-4977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063528560
NPI FOR FAMILY PRESERVATION SERVICE
FL
01
—
650848685
TAX ID FOR FAMILY PRESERVATION SERVICE
FL
Enumeration date
11/08/2011
Last updated
11/08/2011
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