Individual
ELLY DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15127 PERDIDO DR, ORLANDO, FL 32828-5219
(407) 432-6158
Mailing address
15127 PERDIDO DR, ORLANDO, FL 32828-5219
(407) 432-6158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
FL
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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