Organization
CENTER FOR CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIDELINA DUCLOS (PSYCHOTHERAPIST)
(561) 968-5419
Entity
Organization
Contact information
Practice address
5267 WOODSTONE CIR S, LAKE WORTH, FL 33463-5841
(561) 310-4017
Mailing address
5267 WOODSTONE CIR S, LAKE WORTH, FL 33463-5841
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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