Individual
KATEEA CHA'REESE ESSIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7890 PETERS RD STE G109, PLANTATION, FL 33324-4028
(954) 581-3370
(954) 581-3371
Mailing address
7890 PETERS RD STE G109, PLANTATION, FL 33324-4028
(954) 581-3370
(954) 581-3371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003604500
—
FL
Enumeration date
05/10/2011
Last updated
07/21/2022
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