Individual
CECILIA KIM FRIEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
730 BEVILLE RD, DAYTONA BEACH, FL 32114-5933
(386) 488-1159
Mailing address
2640 YALE RD, SOUTH DAYTONA, FL 32119-3340
(386) 488-1159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW21341
FL
Other
Enumeration date
05/30/2023
Last updated
03/25/2024
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