Individual
CHARLOTTE GRIFFIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16120 N FLORIDA AVE, LUTZ, FL 33549-6129
(813) 340-0383
(813) 974-8080
Mailing address
30477 USF HOLLY DR, TAMPA, FL 33620-3047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8534
FL
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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