Individual
NATHALIE POUPONNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 690-6906
Mailing address
580 WHITE PLAINS RD STE 510, TARRYTOWN, NY 10591-5152
(914) 345-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69294
NY
1041C0700X
Clinical Social Worker
SW25296
FL
Other
Enumeration date
05/17/2022
Last updated
07/23/2026
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