Lince Favors VII

NPI #1912300161 in Fort Walton Beach, Florida

Provider Information

NPI Number: 1912300161
Entity Type: Individual
Name: Lince Favors VII
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 120 LOIZOS DR NW
City: Fort Walton Beach
State: Florida
ZIP Code: 32548-4702
Phone: (850) 243-0932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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