Jill a Hartog Lcsw PA

NPI #1083876254 in Miami, Florida

Provider Information

NPI Number: 1083876254
Entity Type: Organization
Organization Name: Jill a Hartog Lcsw PA
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 30, 2008
Last Updated: Jan 25, 2011

Practice Location

Address: 9150 SW 87TH AVE
Address 2: SUITE 202
City: Miami
State: Florida
ZIP Code: 33176-2319
Phone: (305) 274-0018

Authorized Official

Name: MRS. JILL ANN HERNANDEZ
Title: PRESIDENT
Phone: (305) 274-0018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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