Individual
JUDY RAQUEL CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 S HIGHLAND AVE # 4-109, CLEARWATER, FL 33756-4391
(773) 480-8574
Mailing address
1235 S HIGHLAND AVE # 4-109, CLEARWATER, FL 33756-4391
(773) 480-8574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/11/2024
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