Individual
ANNETTE MARIE KODERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 PAWNEE TRL, MAITLAND, FL 32751-3843
(954) 684-6627
Mailing address
535 PAWNEE TRL, MAITLAND, FL 32751-3843
(954) 684-6627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11315
FL
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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