Organization
ISW10244DELTA FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN CARROLL MSW (COUNSELOR)
(239) 540-1155
Entity
Organization
Contact information
Practice address
3723 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7124
(239) 540-1155
Mailing address
3723 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7124
(239) 540-1155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ISW10244
FL
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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