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JODI L CARLTON-KOCH LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811064199

Individual Registrant:
 JODI L CARLTON-KOCH LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
10651 HABITAT TRL  BOKEELIA, FL 33922-3122 US
Tel: 239-247-2327  Fax: --

Contact information for business:
10651 HABITAT TRL  BOKEELIA, FL 33922-3122 US
Tel: 239-247-2327  Fax: --

Registration Information:
NPI: 1811064199
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
FLSW 7193

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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