Individual
KRISANDRA LOUISE MCCLINTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5304 S FLORIDA AVE, SUITE 406, LAKELAND, FL 33813-4918
(863) 607-4183
Mailing address
5304 S FLORIDA AVE, SUITE 406, LAKELAND, FL 33813-4918
(863) 607-4183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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