Individual
CAROL J ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4700 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5800
(954) 730-7284
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
(954) 486-4005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MT4104
FL
1041C0700X
Clinical Social Worker
MT4104
FL
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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