Most Relevant Information
Provider Data
| NPI Number: | 1003399676 |
| Provider Name: | MIREILLE TAIME MSW LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 15686 |
Most Important Dates
| Enumeration Date: | 09/10/2018 |
| Last Updated: | 09/10/2018 |
Provider Practice Location
390 PONDELLA RD STE 9
NORTH FORT MYERS
FL
339034340
Practice Location Phone/Fax
| Phone: | 2396520260 |
| Fax: |
Provider Mailing Location
4112 12TH ST W
LEHIGH ACRES
FL
339715021
Provider Mailing Phone/Fax
| Phone: | 2398399399 |
| Fax: |