Individual
MR. ERIC JAY MANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 VILLAGE WAY, PALM HARBOR, FL 34683-2935
(727) 331-3892
Mailing address
2311 ALT 19, STE 1, PALM HARBOR, FL 34683-2631
(727) 331-3892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10314
FL
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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