Individual
DEDRA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2833 NW 91ST AVE APT 104, CORAL SPRINGS, FL 33065-5066
(954) 955-6145
Mailing address
2833 NW 91ST AVE APT 104, CORAL SPRINGS, FL 33065-5066
(954) 955-6145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW25455
FL
Other
Enumeration date
08/21/2025
Last updated
09/22/2025
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