Individual
MS. FAITH L SKODMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
945 GRAND ST, STARKE, FL 32091-1821
(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
SW17986
FL
1041C0700X
Clinical Social Worker
222967
MA
1041C0700X
Clinical Social Worker
Primary
SW17986
FL
Other
Enumeration date
08/11/2019
Last updated
03/06/2023
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