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Individual

JENNIFER CATALINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(855) 832-6727
(772) 675-9100
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101Y00000X
WA
Enumeration date
07/21/2010
Last updated
02/23/2017
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