Individual
MEGAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 3RD ST N, SAINT PETERSBURG, FL 33703-3902
(860) 309-4119
Mailing address
4630 3RD ST N, SAINT PETERSBURG, FL 33703-3902
(860) 309-4119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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