Individual
MRS. CAITLIN ROSE LABRADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 201B, ST AUGUSTINE, FL 32080-3116
(904) 342-5965
Mailing address
1301 PLANTATION ISLAND DR S STE 201B, ST AUGUSTINE, FL 32080-3116
(904) 342-5965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029591400
—
FL
Enumeration date
12/09/2014
Last updated
09/29/2016
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