Individual
DR. EVODIE MENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 NW 15TH PL, PEMBROKE PINES, FL 33026-2642
(786) 838-2771
Mailing address
11301 NW 15TH PL, PEMBROKE PINES, FL 33026-2642
(786) 838-2771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW4730
FL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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