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Individual

CAITLIN HILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 SPIRIT LAKE RD STE 4, WINTER HAVEN, FL 33880-5081
(863) 800-0758
(863) 937-9659
Mailing address
6720 S FLORIDA AVE APT 4104, LAKELAND, FL 33813-3342

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH16594
FL
101YM0800X
Mental Health Counselor
Primary
MH17598
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1084021-00
FL
Enumeration date
12/11/2017
Last updated
11/15/2020
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