Female

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)

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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