Iva Maylene Hallsted Clearwater, LCSW

NPI #1952419749 in Ft Pierce, Florida

Provider Information

NPI Number
1952419749
Entity Type
Individual
Name
Iva Maylene Hallsted Clearwater, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 29, 2006
Last Updated
Sep 25, 2013

Practice Location

Address
4500 W MIDWAY RD
Address 2
NEW HORIZONS OF THE TREASURE COAST INC
State
Florida
ZIP Code
34981
Phone
(772) 672-5600

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical

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