Individual
MS. CARRIE WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 DAVIS PKWY APT 9, HOMESTEAD, FL 33034-3184
(863) 940-1348
Mailing address
942 DAVIS PKWY APT 9, HOMESTEAD, FL 33034-3184
(863) 940-1348
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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