MEDICARE: MRS. CINDY B. EVERS LCSW

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	SW3135	FL

General Provider Information

NPI Number	:	1740483585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CINDY B. EVERS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 13044
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32317-3044
Country	:	US
Telephone Number	:	850-942-3661
Fax Number	:	850-942-8664

Provider Business Practice Location Address
First Line	:	2390 PHILLIPS RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5326
Country	:	US
Telephone Number	:	850-942-3661
Fax Number	:	850-942-8664

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	07/08/2007

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