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Individual

CAROL LATRICE LIPPETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2424 TWIN LAKE VIEW RD, WINTER HAVEN, FL 33881-3238
(863) 514-3007
Mailing address
2424 TWIN LAKE VIEW RD, WINTER HAVEN, FL 33881-3238
(863) 514-3007

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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