Individual
CAROL MARTIN-MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
Mailing address
17300 NE 2ND CT, NORTH MIAMI BEACH, FL 33162-1833
(305) 308-9978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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