Most Relevant Information
Provider Data
| NPI Number: | 1003431016 |
| Provider Name: | HERDYNE MERCIER, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW16258 |
Most Important Dates
| Enumeration Date: | 06/15/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
1798 NW 39TH CT
OAKLAND PARK
FL
333094453
Practice Location Phone/Fax
| Phone: | 9549400048 |
| Fax: |
Provider Mailing Location
300 E OAKLAND PARK BLVD # 117
OAKLAND PARK
FL
333342148
Provider Mailing Phone/Fax
| Phone: | 9549400048 |
| Fax: |