Individual
LAZARO CHEPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCMS
Contact information
Practice address
1460 NW 107TH AVE STE 41N, SWEETWATER, FL 33172-2733
(754) 263-2050
(754) 263-2052
Mailing address
1460 NW 107TH AVE STE 41N, SWEETWATER, FL 33172-2733
(754) 263-2050
(754) 263-2052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022735500
—
FL
Enumeration date
01/22/2015
Last updated
11/10/2022
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