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Individual
MR. MANUEL ENRIQUE CERDA
Active
Individual
MR. MANUEL ENRIQUE CERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
017636300
FL
1041C0700X
Clinical Social Worker
SW0004511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017636300
—
FL
01
—
SW0004511
LICENSE
FL
01
—
Z7740
BCBS
FL
Enumeration date
02/14/2006
Last updated
08/02/2019
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