Individual
MRS. ANNALISA HOPE MARCANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4401 AVALON BLVD, MILTON, FL 32583-2842
(850) 823-9585
Mailing address
3249 EDINBURG CASTLE DR, MILTON, FL 32583-5631
(850) 823-9585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW22773
FL
Other
Enumeration date
08/20/2015
Last updated
11/14/2024
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