Lince Favors Valid NPI
Individual provider · Social Worker · Fort Walton Beach, FL
- NPI
- 1912300161
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-10-02
- Last updated
- 2014-10-02
Practice location
120 Loizos Dr Nw
Fort Walton Beach, FL 32548-4702
(850) 243-0932