Individual
ENEIDA CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCMS
Contact information
Practice address
22018 ENSENADA WAY, BOCA RATON, FL 33433-4611
(954) 907-6263
Mailing address
22018 ENSENADA WAY, BOCA RATON, FL 33433-4611
(954) 907-6263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109672100
—
FL
Enumeration date
06/29/2021
Last updated
06/29/2021
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