Individual
CHRISTINE MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 9TH AVE N, ST PETERSBURG, FL 33701-1705
(786) 209-9503
Mailing address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(786) 208-9503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11274
FL
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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