Individual
MR. CHARLIE CANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., CBHCM
Contact information
Practice address
6441 S CHICKASAW TRL, ORLANDO, FL 32829-8366
(918) 928-2139
Mailing address
6441 S CHICKASAW TRL, ORLANDO, FL 32829-8366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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