Individual
LARAINE BERKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
3501 W VINE ST STE 344, KISSIMMEE, FL 34741-4649
(252) 820-5793
Mailing address
3501 W VINE ST STE 344, KISSIMMEE, FL 34741-4649
(252) 820-5793
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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