Individual
REBECCA REGAN INNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
230 SHORE LN, INDIAN HARBOUR BEACH, FL 32937-4221
(321) 591-9943
Mailing address
230 SHORE LN, INDIAN HARBOUR BEACH, FL 32937-4221
(321) 591-9943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2012
Last updated
11/11/2012
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