Individual
CAROLINE KANUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1960 5TH AVE S, ST PETERSBURG, FL 33712-1324
(727) 270-4332
Mailing address
5900 5TH AVE N APT D7, ST PETERSBURG, FL 33710-7053
(727) 270-4332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SC61591817
WA
1041C0700X
Clinical Social Worker
Primary
SW24080
FL
Other
Enumeration date
02/01/2021
Last updated
01/25/2025
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