Individual
FAYANNE KUTTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2751 NE 183RD ST, AVENTURA, FL 33160-2160
(305) 401-5484
(954) 337-3309
Mailing address
PO BOX 801936, MIAMI, FL 33280-1936
(954) 224-0555
(954) 840-8254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW001836
FL
Other
Enumeration date
01/02/2006
Last updated
05/20/2018
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