Individual
COLLEEN HENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5272 SUMMERLIN COMMONS WAY STE 602, FORT MYERS, FL 33907-2156
(239) 297-7099
Mailing address
10491 DEAL RD, NORTH FORT MYERS, FL 33917-5241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14375
FL
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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