Individual
PATRICIA CLAVIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 N GOLDENROD RD, SUITE 2, ORLANDO, FL 32807-8308
(321) 279-2174
Mailing address
13748 DORNOCH DR, ORLANDO, FL 32828-8816
(321) 279-4765
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/15/2014
Last updated
08/31/2015
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