Individual
CHRISANN MULLER CARRIER-REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1514 W MAIN ST, LEESBURG, FL 34748-4857
(352) 365-6506
(352) 365-6596
Mailing address
1510 PARK DR, LEESBURG, FL 34748-6738
(352) 365-6506
(352) 787-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U9016Z
MEDICARE PROVIDER NO.
—
Enumeration date
07/22/2006
Last updated
04/01/2008
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