Individual
ANNIE ALTENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-QS
Contact information
Practice address
2503 S SCARLET OAK CT, SARASOTA, FL 34232-6120
(954) 600-0089
Mailing address
2503 S SCARLET OAK CT, SARASOTA, FL 34232-6120
(954) 600-0089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW14447
PROFESSION LICENSE
FL
Enumeration date
12/15/2019
Last updated
12/15/2019
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