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Individual

MS. CECILIA LAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
640 BREVARD AVE STE 106, 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
104100000X
Social Worker
076373
NY
1041C0700X
Clinical Social Worker
Primary
73077622
NY

Other

Enumeration date
03/26/2008
Last updated
05/12/2021
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