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Individual

MS. ALICE-MARIE WORTHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAGS, MAEP, NAFC

Contact information

Practice address
13 NE 36TH AVE, OCALA, FL 34470-1302
(352) 680-9416
Mailing address
PO BOX 831066, OCALA, FL 34483-1066
(352) 680-9416

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24323
IN
101YM0800X
Mental Health Counselor
Primary
MH8339
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766222000
FL
Enumeration date
03/10/2006
Last updated
05/31/2013
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