Individual
CLEANE ST ELOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6617 SHADOW OAK LN, ORLANDO, FL 32809-6665
(407) 907-3424
Mailing address
6617 SHADOW OAK LN, ORLANDO, FL 32809-6665
(407) 907-3424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP01011087
FL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
SW19467
FL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/10/2016
Last updated
03/26/2026
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