KATRINA FORMAN

HOLLYWOOD, FL
NPI1447538269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW17881)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
103K00000X Behavior Analyst
104100000X Social Worker
251S00000X 
Enumeration Date2011-07-27
Last Update Date2023-04-14
Business Address
Ms. KATRINA FORMAN MSW, LCSW
4302 HOLLYWOOD BLVD # 127
HOLLYWOOD, FL 33021-6635
Phone number: 954-505-0554
Mailing Address
Ms. KATRINA FORMAN MSW, LCSW
4302 HOLLYWOOD BLVD STE 127
HOLLYWOOD, FL 33021-6635
Phone number: 954-505-0554