Individual
EUSTACIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
164 VAN BUREN AVE, LAKE MARY, FL 32746-3809
(407) 687-6394
Mailing address
164 VAN BUREN AVE, LAKE MARY, FL 32746-3809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW18379
FL
Other
Enumeration date
03/10/2025
Last updated
03/25/2025
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