Agic, Christine

Agic, Christine is an sole proprietor health care provider with primary practice located at 11120 S Crown Way Ste 1 , Wellington FL 33414-8718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Agic, Christine can be contacted via phone (561) 790-1191.

Contact Information

Primary practice address
11120 S Crown Way Ste 1 Wellington FL 33414-8718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW14909 Florida

Profile Details

NPI number 1679055644
LBN Legal business name Agic, Christine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2018
Last updated Oct 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679055644 NPPES
Florida MEDICAID 024572500

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