Healthcare Provider Details
I. General information
NPI: 1316140247
Provider Name (Legal Business Name): DEBORAH MARIE KUHLMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/07/2007
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15712 CEDAR ELM TER
LAND O LAKES FL
34638-3739
US
IV. Provider business mailing address
15712 CEDAR ELM TER
LAND O LAKES FL
34638-3739
US
V. Phone/Fax
- Phone: 813-298-2719
- Fax:
- Phone: 813-298-2719
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | SW14915 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: