Individual
ERICA RAE CUNEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12421 SW 28TH PL, ARCHER, FL 32618-2135
(352) 505-3507
Mailing address
12421 SW 28TH PL, ARCHER, FL 32618-2135
(352) 505-3507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW12285
LICENSED CLINICAL SOCIAL WORKER
FL
Enumeration date
09/05/2017
Last updated
07/21/2022
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