Organization
FISH FAMILY AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN H. FISH II LCSW (PARTNER)
(386) 456-0008
Entity
Organization
Contact information
Practice address
1642 N VOLUSIA AVE, SUITE 203, ORANGE CITY, FL 32763-3842
(386) 456-0008
Mailing address
1642 N VOLUSIA AVE, SUITE 203, ORANGE CITY, FL 32763-3842
(386) 456-0008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9428
FL
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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