Individual
DEBORAH ANN WHITEHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12550 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3655
(239) 343-9180
(239) 343-9188
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9180
(239) 343-9188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW7478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100789200
—
FL
Enumeration date
04/19/2018
Last updated
10/27/2020
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