Individual
PATRICE HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Mailing address
11120 S CROWN WAY, WELLINGTON, FL 33414-8718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW14457
FL
Other
Enumeration date
09/20/2017
Last updated
06/03/2022
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