Individual
LARRY BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1418 SW 43RD LN, CAPE CORAL, FL 33914-5662
(239) 699-0242
Mailing address
1418 SW 43RD LN, CAPE CORAL, FL 33914-5662
(239) 699-0242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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