Provider Demographics
NPI:1083682124
Name:REDDING, CARL O JR (MSW)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:O
Last Name:REDDING
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
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Mailing Address - Street 1:3170 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-3791
Mailing Address - Country:US
Mailing Address - Phone:561-422-6884
Mailing Address - Fax:561-422-7578
Practice Address - Street 1:7503 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6419
Practice Address - Country:US
Practice Address - Phone:561-422-6884
Practice Address - Fax:561-422-7578
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical