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Individual

CAROL H ARLINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMHC

Contact information

Practice address
391 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4299
Mailing address
4603 4TH AVE E, BRADENTON, FL 34208-8448
(772) 713-3578

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9926
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008368900
FL
Enumeration date
06/26/2008
Last updated
01/25/2017
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