Individual
MISS KATHYRN DIANE CARSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8980 ARCADE AVE, JACKSONVILLE, FL 32216-3363
(904) 330-6716
Mailing address
8980 ARCADE AVE, JACKSONVILLE, FL 32216-3363
(904) 330-6716
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360358001
—
FL
Enumeration date
01/25/2010
Last updated
01/07/2015
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