is a Clinical in Mangonia Park, Florida. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1851558829. The last update date is .
's current location address is 1720 E Tiffany Dr Ste 102, Mangonia Park, Florida. You can contact this provider via phone number 5618443556 and fax number 5618450316. The mailing address for is 1720 E Tiffany Dr Ste 102, Mangonia Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1720 E Tiffany Dr Ste 102, Mangonia Park, Florida |
| Phone Number | 5618443556 |
| Fax Number | 5618450316 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851558829 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1720 E Tiffany Dr Ste 102 |
|---|---|
| City | Mangonia Park |
| State | Florida (FL) |
| Post Code | 334073235 |
| Phone Number | 5618443556 |
| Fax Number | 5618450316 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW16074 |
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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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