Individual
MRS. LARA PENNEY CHICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 DIXON BLVD, COCOA, FL 32922-6411
(321) 452-0800
Mailing address
1407 DIXON BLVD, COCOA, FL 32922-6411
(321) 452-0800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2011
Last updated
06/11/2013
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