Individual provider · NPI-1

David Jose Aranda, LCSW

Social Worker, Clinical · Lakeland, FL

NPI number1790068401
StatusActive
Last updated in NPPESMay 21, 2014

Details

NPI
1790068401
Entity type
Individual (NPI-1)
Name
David Jose Aranda
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 20, 2011
Last updated
May 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW10266FLYes

Practice location

2225 E Edgewood Dr
Suite 11
Lakeland, FL 33803-3634

Phone 863-646-4581 · Fax 863-937-9154

Mailing address

Po Box 503
Highland City, FL 33846-0503

Phone 863-646-4581 · Fax 863-937-9154

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