Organization
FISH FAMILY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN H. FISH II LCSW (OWNER)
(386) 456-0008
Entity
Organization
Contact information
Practice address
2425 S VOLUSIA AVE, SUITE #B2, ORANGE CITY, FL 32763-7625
(386) 456-0008
Mailing address
2425 S VOLUSIA AVE, SUITE #B2, ORANGE CITY, FL 32763-7625
(386) 456-0008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9428
FL
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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