Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | SW11131 | FL |
NPI | 1003120668 |
---|---|
Provider Name | Carolyn Fitzgerald Hellmann |
First Address | Palm City, FL 34991-0118 |
Second Address | Palm City, FL 34990-3342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 19/08/2021 |