Individual
CARRIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
105 W CALVIN ST, DELAND, FL 32720-7403
(800) 539-4228
Mailing address
7777 E YALE AVE, #F105, DENVER, CO 80231-6055
(720) 244-2433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1196
FL
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012235000
—
FL
Enumeration date
01/19/2007
Last updated
10/28/2019
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