Doctor Name: | MS. KATHLEEN ROBINSON VAIL |
NPI Number: | 1114179496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | SW 2558 |
Business Practice Address: | 1496 Stefani Cir Cantonment, FL - 325337730 |
Business Phone Number: | 8504943083 |
Business Fax Number: | |
Mailing Address: | 1496 Stefani Cir, CANTONMENT |
State: | FL |
Postal Code: | 325337730 |
Phone Number: | 8504943083 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 2558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |