Individual
BEATRIZ GISSELLE BAELLA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2888 MAHAN DR STE 1, TALLAHASSEE, FL 32308-5465
(850) 443-1974
Mailing address
7101 SLEEPY HOLW, TALLAHASSEE, FL 32312-7563
(850) 443-1974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8676
FL
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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