Individual
CAROL FENSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7000 SW 62ND AVE, SUITE 525, SOUTH MIAMI, FL 33143-4716
(305) 401-7676
Mailing address
7888 SW 102ND LN, MIAMI, FL 33156-8117
(305) 401-7676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z1649
MEDICARE
FL
Enumeration date
04/23/2014
Last updated
04/23/2014
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