Organization
CECILIA LAND LCSW-R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA MICHELLE PAPALAS LAND (LICENSED CLINICAL SOCIAL WORKER)
(347) 866-0423
Entity
Organization
Contact information
Practice address
640 BREVARD AVE, COCOA, FL 32922-7849
(347) 866-0423
Mailing address
15 RENEE CT, ROCKLEDGE, FL 32955-3748
(347) 866-0423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861664294
NPI
—
Enumeration date
10/03/2022
Last updated
10/03/2022
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