Individual
DR. ANTON FRANS KOOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD LCSW
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(352) 374-5600
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LCSW003390
FL
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/11/2006
Last updated
11/13/2019
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