Organization
KATHRYN DOLL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN DOLL LCSW (OWNER/MANAGER)
(954) 260-8667
Entity
Organization
Contact information
Practice address
9900 W SAMPLE RD STE 309, CORAL SPRINGS, FL 33065-4048
(954) 260-8667
Mailing address
8500 NW 79TH ST, TAMARAC, FL 33321-1659
(954) 260-8667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 14042
FL
Other
Enumeration date
03/11/2017
Last updated
10/17/2018
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