Individual
MS. CATHERINE MARIE REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
12957 PALMS WEST DR, SUITE 101, LOXAHATCHEE, FL 33470-4989
(561) 790-3750
(561) 792-5874
Mailing address
12957 PALMS WEST DR, SUITE 101, LOXAHATCHEE, FL 33470-4989
(561) 790-3750
(561) 792-5874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
FL3903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199660
MANAGED HEALTH NETWORK
—
01
—
Z6617
BLUE CROSS&BLUE SHIELD
—
Enumeration date
01/18/2007
Last updated
07/08/2007
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