Individual
CHRISTIAN CARBONERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1453 NE 15TH AVE, FORT LAUDERDALE, FL 33304-1372
(786) 468-4355
Mailing address
1453 NE 15TH AVE, FORT LAUDERDALE, FL 33304-1372
(786) 468-4355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23883
FL
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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