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Organization

KC GUARDIAN,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN KONOPNICKI CHAPPELL (PRESIDENT)
(863) 602-2935
Entity
Organization

Contact information

Practice address
5443 PEBBLE BEACH DR, LAKELAND, FL 33813-1216
(863) 644-7696
(863) 644-4666
Mailing address
PO BOX 7298, LAKELAND, FL 33807-7298
(863) 602-2935
(863) 644-4666

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/26/2006
Last updated
08/22/2020
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