Individual
ADAMARISE ANGEL GRACE PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2473 SW GALIANO RD, PORT ST LUCIE, FL 34987-2061
(772) 985-6310
Mailing address
2473 SW GALIANO RD, PORT ST LUCIE, FL 34987-2061
(772) 985-6310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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