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MICHELLE BRODY LCSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1790093771
Individual Registrant: MICHELLE BRODY LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
9100 CONROY WINDERMERE RD STE 289 WINDERMERE, FL 34786-8431 US
Tel: 954-648-6699 Fax: --
Tel: 954-648-6699 Fax: --
Contact information for business:
12755 WOODBURY OAKS DR ORLANDO, FL 32828-5914 US
Tel: 954-648-6699 Fax: --
Tel: 954-648-6699 Fax: --
Registration Information:
NPI: 1790093771
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker | FL | SW8294 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
