Healthcare Provider Details

I. General information

NPI: 1376816843
Provider Name (Legal Business Name): MARGARET MARY PRICE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27539 SUGAR LOAF DR
WESLEY CHAPEL FL
33544-8645
US

IV. Provider business mailing address

27539 SUGAR LOAF DR
WESLEY CHAPEL FL
33544-8645
US

V. Phone/Fax

Practice location:
  • Phone: 813-368-8600
  • Fax: 813-745-3407
Mailing address:
  • Phone: 813-368-8600
  • Fax: 813-745-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5775
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: