Individual
KAYLIN M FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1717 S ORANGE AVE STE 100, NEMOURS CHILDRENS CLINIC, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 298-7371
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7839
FL
104100000X
Social Worker
Primary
SW9602
FL
1041C0700X
Clinical Social Worker
SW9602
FL
Other
Enumeration date
04/01/2011
Last updated
05/13/2013
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