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Individual

MS. CAROL L CAPTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CAROL CAPTAIN, LMFT

Contact information

Practice address
7481 W OAKLAND PARK BLVD STE 308, TAMARAC, FL 33319-4961
(954) 465-5544
Mailing address
8081 PALMETTO PALM CIR, TAMARAC, FL 33321-2729
(954) 465-5544

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2680
FL
106H00000X
Marriage & Family Therapist
Primary
MT1975
FL

Other

Enumeration date
05/14/2007
Last updated
12/18/2007
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