Individual
ALEX CULBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
330 KAY LARKIN DR, PALATKA, FL 32177-2307
(800) 539-4228
(386) 385-1269
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3200
(386) 236-3178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW-12133
FL
1041C0700X
Clinical Social Worker
Primary
SW17505
FL
Other
Enumeration date
08/19/2019
Last updated
01/06/2021
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