Provider Demographics
NPI:1700075934
Name:FLURY, CHRISTINE N
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:N
Last Name:FLURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6119 FLORENZIA TER
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-7239
Mailing Address - Country:US
Mailing Address - Phone:850-894-4874
Mailing Address - Fax:
Practice Address - Street 1:3333 W PENSACOLA ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-2888
Practice Address - Country:US
Practice Address - Phone:850-575-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6397104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker