Individual
MR. CHARLES ANTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6906
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(321) 397-6906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6276
FL
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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