Individual
CAROLYN GRACE ASCENCIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW9203
FL
1041C0700X
Clinical Social Worker
SW 9203
FL
Other
Enumeration date
02/27/2009
Last updated
04/29/2024
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