Progressive Healthcare of Brevard, LLC

NPI #1134769698 in Melbourne, Florida

Provider Information

NPI Number: 1134769698
Entity Type: Organization
Organization Name: Progressive Healthcare of Brevard, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 5972 GOLETA CIR
City: Melbourne
State: Florida
ZIP Code: 32940-8035
Phone: (321) 615-0990

Authorized Official

Name: GWEN MUNDORF, LCSW
Title: THERAPIST
Phone: (321) 615-0990

Specialties & Taxonomy Codes

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

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