Provider Information for 1316595226
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Ms. LEVA TALTON MSW, RCSWI
Sex: Female
NPI: 1316595226
Last Updated: 2019-09-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316595226 | ||||||||
| Enumeration Date | 2019-09-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3592 RUSTY GRACKLE DR PALM HARBOR, FL 34683-2223 United States Phone: 727-239-5408 | Fax: | ||||||||
| Primary Practice Address | 3491 GANDY BLVD N STE 201 PINELLAS PARK, FL 33781-2654 United States Phone: 727-547-0607 | Fax: | ||||||||
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