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Individual

DESTINEE FLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
190 FITZGERALD RD STE 1, LAKELAND, FL 33813-2620
(863) 860-1621
Mailing address
7707 CANFORD ST, #H, CAMBY, IN 46113-8291

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
34006609A
IN
1041C0700X
Clinical Social Worker
Primary
SW14069
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100270530A
IN
Enumeration date
10/09/2009
Last updated
09/30/2024
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