Individual
JACQUELINE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3483 W VINE ST, KISSIMMEE, FL 34741-4668
(407) 928-0444
Mailing address
2415 TIMOTHY LN, KISSIMMEE, FL 34743-3663
(787) 637-4169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6756
PR
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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