Individual
JUANITA CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 LAKE ELLENOR DR STE 212, ORLANDO, FL 32809-4632
(407) 325-2235
Mailing address
6100 LAKE ELLENOR DR STE 212, ORLANDO, FL 32809-4632
(407) 325-2235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
01/10/2012
Last updated
03/17/2018
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