Individual provider · NPI-1

Eddy Alfonso

Social Worker · Homestead, FL

NPI number1508206970
StatusActive
Last updated in NPPESJul 1, 2013

Details

NPI
1508206970
Entity type
Individual (NPI-1)
Name
Eddy Alfonso
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 1, 2013
Last updated
Jul 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

654 Ne 9th Pl
Homestead, FL 33030-4934

Phone 305-248-3488 · Fax 305-248-6558

Mailing address

29487 Sw 144th Ave
Homestead, FL 33033-2977

Phone 305-248-3488 · Fax 305-248-6558

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