Individual
MRS. CAROL MEHLBERG CARBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
745 GILDA DR, ST AUGUSTINE, FL 32086-7605
(904) 794-7968
(904) 794-7968
Mailing address
745 GILDA DR, ST AUGUSTINE, FL 32086-7605
(904) 794-7968
(904) 794-7968
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812228800
—
FL
Enumeration date
09/19/2007
Last updated
10/14/2008
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