Individual
DOMENICA DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1573 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-4679
(407) 896-8097
(407) 898-8328
Mailing address
1573 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-4679
(407) 896-8097
(407) 898-8328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12419-01
NY
1041C0700X
Clinical Social Worker
Primary
SW23113
FL
Other
Enumeration date
10/12/2021
Last updated
12/31/2024
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