Individual
MRS. CARMEN C WHISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 WESTON CIR, PONTE VEDRA, FL 32081-0650
(904) 339-5875
Mailing address
44 WESTON CIR, PONTE VEDRA, FL 32081-0650
(904) 339-5875
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12535
FL
Other
Enumeration date
12/11/2018
Last updated
02/24/2020
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