Most Relevant Information
Provider Data
| NPI Number: | 1003360926 |
| Provider Name: | TARA L MCDONNELL MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW-15613 |
Most Important Dates
| Enumeration Date: | 08/09/2016 |
| Last Updated: | 07/31/2019 |
Provider Practice Location
901 NORTHPOINT PKWY STE 304
WEST PALM BEACH
FL
334071953
Practice Location Phone/Fax
| Phone: | 5618980717 |
| Fax: |
Provider Mailing Location
901 NORTHPOINT PKWY STE 304
WEST PALM BEACH
FL
334071953
Provider Mailing Phone/Fax
| Phone: | 5618980717 |
| Fax: |