Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW0003889 | FL |
NPI | 1003073420 |
---|---|
Provider Name | Ms. Lourdes O. Ferrer |
First Address | Miami, FL 33165 |
Second Address | Miami, FL 33165 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2008 |