Individual
CHRISTINA ELAINE RENE HARDING CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3481 CARSON LAKES CIR, IMMOKALEE, FL 34142-2089
(239) 246-0177
Mailing address
3481 CARSON LAKES CIR, IMMOKALEE, FL 34142-2089
(239) 246-0177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW20958
FL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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