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Individual

MS. ANGELA KING CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
431 SW 33RD TER, CAPE CORAL, FL 33914-7820
(239) 849-5405
Mailing address
431 SW 33RD TER, CAPE CORAL, FL 33914-7820
(239) 849-5405

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
08/26/2013
Last updated
08/26/2013
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