Individual
ANGELICA BAEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Mailing address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001964500
—
FL
Enumeration date
11/25/2009
Last updated
07/27/2021
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