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Individual

MRS. ERIN LINDSEY RAYMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1203 FLORIDA AVE, SAINT CLOUD, FL 34769-3721
(407) 277-7620
Mailing address
1340 CIBOLA DR, MELBOURNE, FL 32934-3270
(407) 866-8356

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW11194
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
802045726
FL
05
805039667
FL
Enumeration date
02/09/2018
Last updated
02/09/2018
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