Most Relevant Information
Provider Data
| NPI Number: | 1003429226 |
| Provider Name: | JENIFER SUE ELAM-HARTHCOCK LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: | 13512 |
Most Important Dates
| Enumeration Date: | 08/27/2020 |
| Last Updated: | 08/27/2020 |
Provider Practice Location
10000 BAY PINES BLVD
BAY PINES
FL
337448200
Practice Location Phone/Fax
| Phone: | 7273986661 |
| Fax: |
Provider Mailing Location
10000 BAY PINES BLVD
BAY PINES
FL
337448200
Provider Mailing Phone/Fax
| Phone: | 7273986661 |
| Fax: |