Kanilina Clerge
Marriage & Family Therapist in Brandon, FL(View on Map)
Full Name
Kanilina Clerge
NPI Number
1922354059
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/26/2012
Specialties
(Taxonomies)Code
106H00000X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
MT4165
Contact
Information
Purpose
Mailing
Location
Address
867 W BLOOMINGDALE AVE # 6971
867 W BLOOMINGDALE AVE # 6971
City
Brandon
Brandon
State
FL
FL
Postal Code
33511-7701
33511-7701
Country
US
US
Telephone Number
(863) 313-0340
(863) 313-0340
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/30/2022
Provider Address
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