Individual
CATHERINE JANE IGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CEAP
Contact information
Practice address
630 POPE AVE NW, WINTER HAVEN, FL 33881-4665
(863) 370-7281
(863) 292-2201
Mailing address
630 POPE AVE NW, WINTER HAVEN, FL 33881-4665
(863) 370-7281
(863) 292-2201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW4873
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64658
CERIDIAN
FL
01
—
82781399
UBH
FL
Enumeration date
03/13/2007
Last updated
07/08/2007
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