Individual
DONELL MARIE STANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 248-8104
(561) 422-1392
Mailing address
5501 WISHING STAR LN, GREENACRES, FL 33463-5930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW16081
FL
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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