Individual
ADDISON LEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
23 RYBAR LN, PALM COAST, FL 32164-6445
(386) 882-4968
Mailing address
925 N HALIFAX AVE APT 409, DAYTONA BEACH, FL 32118-3704
(386) 882-4968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
11/23/2016
Last updated
01/30/2025
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