Doctor Name: | MRS. ANA MARY MUTH |
NPI Number: | 1194984203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | SW 3598 |
Business Practice Address: | 5700 Lake Worth Rd Suite 205 Greenacres, FL - 334634727 |
Business Phone Number: | 5613519779 |
Business Fax Number: | |
Mailing Address: | 5472 Lake Osborne Dr, LAKE WORTH |
State: | FL |
Postal Code: | 334616051 |
Phone Number: | 5613519779 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 3598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |