Individual
CHERYL LYNN COVEDUCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CBHT
Contact information
Practice address
1516 19TH AVE W, BRADENTON, FL 34205-7114
(941) 749-1790
Mailing address
1516 19TH AVE W, BRADENTON, FL 34205-7114
(941) 749-1790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
576
FL
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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