Labrador, Caitlin Rose

Labrador, Caitlin Rose is an individual health care provider with primary practice located at 1301 Plantation Island Dr S Ste 201B , St Augustine FL 32080-3116. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Labrador, Caitlin Rose can be contacted via phone (904) 342-5965.

Contact Information

Primary practice address
1301 Plantation Island Dr S Ste 201B St Augustine FL 32080-3116
Phone: (904) 342-5965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW13916 Florida

Profile Details

NPI number 1689072514
LBN Legal business name Labrador, Caitlin Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2014
Last updated Sep 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689072514 NPPES
Florida MEDICAID 029591400

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