MEDICARE: MRS. HEATHER ALLMAN L.C.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6549	FL

General Provider Information

NPI Number	:	1336464809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HEATHER ALLMAN L.C.S.W.

Provider Business Mailing Address
First Line	:	1019 BURNING TREE WAY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-9420
Country	:	US
Telephone Number	:	850-877-8706
Fax Number	:

Provider Business Practice Location Address
First Line	:	1019 BURNING TREE WAY
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-9420
Country	:	US
Telephone Number	:	850-877-8706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2010
Last Update Date	:	03/28/2010

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