Organization
ENRICHMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROBERTS MSW (DIRECTOR)
(850) 459-2157
Entity
Organization
Contact information
Practice address
2365 CENTERVILLE RD, SUITE B-2, TALLAHASSEE, FL 32308-4317
(850) 459-2157
Mailing address
2365 CENTERVILLE RD, SUITE B-2, TALLAHASSEE, FL 32308-4317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW 6541
FL
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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