Individual
CARRIE DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, RCSWI
Contact information
Practice address
4905 LANTANA RD, LAKE WORTH, FL 33463-6915
(561) 340-7269
Mailing address
4840 VIA BARI APT 1211, LAKE WORTH, FL 33463-6834
(954) 501-8349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW18999
FL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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