Most Relevant Information
Provider Data
| NPI Number: | 1003053927 |
| Provider Name: | IDA MARLENE PHARR L.C.S.W. |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW2882 |
Most Important Dates
| Enumeration Date: | 01/14/2009 |
| Last Updated: | 01/14/2009 |
Provider Practice Location
7008 OCALA AVE
FORT PIERCE
FL
349511514
Practice Location Phone/Fax
| Phone: | 7724667734 |
| Fax: |
Provider Mailing Location
7008 OCALA AVE
FORT PIERCE
FL
349511514
Provider Mailing Phone/Fax
| Phone: | 7724667734 |
| Fax: |