Individual
IRISDANE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1176 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 868-1992
(386) 868-1978
Mailing address
56 KALAMAZOO TRL, PALM COAST, FL 32164-5622
(508) 317-9371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
08/16/2021
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