Individual
CARLY STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2301 GLADES RD STE 700, BOCA RATON, FL 33431-7397
(800) 600-4096
(866) 606-8885
Mailing address
218 OVERLOOK DR, CHULUOTA, FL 32766-9687
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW 10811
FL
1041C0700X
Clinical Social Worker
Primary
SW15711
FL
Other
Enumeration date
07/07/2016
Last updated
09/11/2018
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