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Individual

MRS. CHRISTINE G MCNAMARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6710 EMBASSY BLVD, STE #202, PORT RICHEY, FL 34668-7754
(813) 382-1485
Mailing address
10704 OUT ISLAND DR, TAMPA, FL 33615-2521
(813) 382-1485

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9909
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW 9909
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
06/28/2010
Last updated
06/28/2010
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