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Individual

CHARLOTTE RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 NE 42ND AVE, OCALA, FL 34470-8022
(813) 290-8560
Mailing address
PO BOX 3606, BELLEVIEW, FL 34421-3606
(352) 347-8806

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9976
FL
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/30/2009
Last updated
06/14/2018
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