Individual
MS. CONCHITA SMITH LUNDBLAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10300 SW 72ND ST STE 152, MIAMI, FL 33173-3000
(305) 270-6799
(305) 271-1757
Mailing address
12810 SW 105TH TER, MIAMI, FL 33186-3503
(305) 270-6799
(305) 271-1757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW1537
FL
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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