Individual
MS. BARBARA M KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/MSW
Contact information
Practice address
3459 SEMINOLE LANE, MARIANNA, FL 32448
(850) 510-5145
(850) 656-3802
Mailing address
3459 SEMINOLE LANE, MARIANNA, FL 32448
(850) 510-5145
(850) 656-3802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW4616
FL
Other
Enumeration date
03/27/2007
Last updated
11/05/2010
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