| Cecilia Land Lcsw-r | |
|
640 Brevard Ave Cocoa FL 32922-7849 | |
| (347) 866-0423 | |
| Not Available |
| Full Name | Cecilia Land Lcsw-r |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 640 Brevard Ave, Cocoa, Florida |
| Authorized Official Name and Position | Cecilia Michelle Papalas Land (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3478660423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Land Lcsw-r 15 Renee Ct Rockledge FL 32955-3748 Ph: (347) 866-0423 | Cecilia Land Lcsw-r 640 Brevard Ave Cocoa FL 32922-7849 Ph: (347) 866-0423 |
| NPI Number | 1821712712 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821712712 | NPI | - | NPPES |
| 1861664294 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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