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Individual
CARL PRATT JR.
Active
Individual
CARL PRATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSMHC
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NONE
FL
172A00000X
Driver
P630139743438
FL
376J00000X
Homemaker
234582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016291000
PROVIDER NUMBER
FL
Enumeration date
08/23/2016
Last updated
11/04/2016
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