Individual
CARMEN M. QUILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 5TH AVE, LEHIGH ACRES, FL 33972-1525
(239) 634-0900
Mailing address
1411 5TH AVE, LEHIGH ACRES, FL 33972-1525
(239) 634-0900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH18942
FL
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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