Individual
ANNETTE MACINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1171 SW 110TH LN, DAVIE, FL 33324-4136
(954) 839-5716
Mailing address
1171 SW 110TH LN, DAVIE, FL 33324-4136
(954) 839-5716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23812
FL
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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