Individual
DOTRALEE MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
835 SYCAMORE ST # H8, TITUSVILLE, FL 32780-7700
(352) 431-6337
Mailing address
1021 S PARK AVE APT 901, TITUSVILLE, FL 32780-3958
(352) 431-6337
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM102301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHCM102301
—
FL
Enumeration date
05/03/2019
Last updated
06/11/2019
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