Individual
MR. EDGAR E CORDOBA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
22219 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-3227
(850) 424-1923
Mailing address
22219 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-3227
(850) 424-1923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007376
GA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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