Individual
ANA JAZMIN ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 JAMESTOWN DR, WINTER PARK, FL 32792-3610
(305) 484-3867
Mailing address
408 JAMESTOWN DR, WINTER PARK, FL 32792-3610
(305) 484-3867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
01/05/2015
Last updated
07/21/2022
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