Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003208794 |
---|---|
Provider Name | Jill Marie Volovar |
First Address | Miami Gardens, FL 33169-5041 |
Second Address | Miami Gardens, FL 33169-5041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2015 |
Last Update Date | 29/03/2018 |