| Michelle Rene Condry | |
|
7862 W Irlo Bronson Hwy # 209 Kissimmee FL 34747-1764 | |
| (813) 407-0257 | |
| Not Available |
| Full Name | Michelle Rene Condry |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7862 W Irlo Bronson Hwy, Kissimmee, Florida |
| Authorized Official Name and Position | Michelle Rene Condry (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 8134070257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Rene Condry 7862 W Irlo Bronson Hwy # 209 Kissimmee FL 34747-1764 Ph: (813) 407-0257 | Michelle Rene Condry 7862 W Irlo Bronson Hwy # 209 Kissimmee FL 34747-1764 Ph: (813) 407-0257 |
| NPI Number | 1962731018 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 11/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962731018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW8414 (Florida) | Primary |
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