Em Legacy LLC

NPI #1386056984 in Ellenton, Florida

Provider Information

NPI Number
1386056984
Entity Type
Organization
Organization Name
Em Legacy LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 30, 2014
Last Updated
May 30, 2014

Practice Location

Address
2605 72ND AVE E
Address 2
221
State
Florida
ZIP Code
34222-7000
Phone
(941) 545-9630

Authorized Official

Name
MS. ERIN M PORTER, LCSW
Title
MNGR DIRECTOR
Phone
(941) 545-9630

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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