Individual
MRS. CAROL WINIFRED CORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1532 US 41 NORTH, LUTZ, FL 33539
(813) 948-6000
(813) 988-6438
Mailing address
10402 N WOODMERE RD, TAMPA, FL 33617-3464
(813) 988-4886
(813) 988-6438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1742
FL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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