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Individual

CAITLIN AILEEN ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1801 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 921-8989
Mailing address
1801 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308-5433
(850) 921-8989

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW8391
FL
1041C0700X
Clinical Social Worker
Primary
SW13748
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029960000
FL
Enumeration date
08/20/2015
Last updated
12/05/2016
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