is a Clinical in Lake Mary, Florida. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1669639530. The last update date is .
's current location address is 3256 W Lake Mary Blvd, Lake Mary, Florida. You can contact this provider via phone number 4074165611 and fax number 3867883600. The mailing address for is 3256 W Lake Mary Blvd, Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3256 W Lake Mary Blvd, Lake Mary, Florida |
| Phone Number | 4074165611 |
| Fax Number | 3867883600 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669639530 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3256 W Lake Mary Blvd |
|---|---|
| City | Lake Mary |
| State | Florida (FL) |
| Post Code | 32746 |
| Phone Number | 4074165611 |
| Fax Number | 3867883600 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW2941 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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