Organization
VERA MATEJIC LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA MATEJIC LCSW (OWNER/THERAPIST)
(305) 331-8053
Entity
Organization
Contact information
Practice address
1325 E TENNESSEE ST OFC 2, TALLAHASSEE, FL 32308-5107
(305) 331-8053
Mailing address
123 WHETHERBINE WAY W, TALLAHASSEE, FL 32301-8536
(305) 331-8053
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW13325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017060800
—
FL
Enumeration date
08/02/2018
Last updated
08/02/2018
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