Individual
DEBORAH KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 646-8560
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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