Individual
JESSICA MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 E MONUMENT AVE UNIT 412, KISSIMMEE, FL 34741
(321) 443-8341
(866) 255-1576
Mailing address
5424 CALLA LILY CT, KISSIMMEE, FL 34758-1909
(407) 729-9000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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