Individual
CAPRICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10621 FUZZY CATTAIL ST, RIVERVIEW, FL 33578-5321
(850) 313-6541
Mailing address
10621 FUZZY CATTAIL ST, RIVERVIEW, FL 33578-5321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW18814
FL
Other
Enumeration date
10/18/2021
Last updated
03/20/2024
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