Individual
MS. DENISE DACOSTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 629-1599
Mailing address
1068 E MICHIGAN ST, ORLANDO, FL 32806-8410
(407) 481-0065
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5735
FL
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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