Individual
CICILY SANTORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
843 MYRTLE TER, NAPLES, FL 34103-2814
(239) 231-3208
Mailing address
8275 VALIANT DR, NAPLES, FL 34104-6673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW8528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006797200
—
FL
Enumeration date
10/07/2010
Last updated
03/09/2017
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