Individual
DIANA CAROLINA ARDILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 SPANGLE DR, SAINT CLOUD, FL 34769-1871
(954) 654-1142
Mailing address
5001 SPANGLE DR, SAINT CLOUD, FL 34769-1871
(954) 654-1142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW17766
FL
1041C0700X
Clinical Social Worker
LICSW1120180
MA
Other
Enumeration date
04/02/2024
Last updated
11/09/2025
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