SAMANTHA ILLANEZ

LONGWOOD, FL
NPI1073258547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2022-04-29
Last Update Date2023-07-11
Business Address
SAMANTHA ILLANEZ
2135 W STATE ROAD 434
LONGWOOD, FL 32779-4983
Phone number: 407-789-2673
Mailing Address
SAMANTHA ILLANEZ
1226 NW 111TH WAY
CORAL SPRINGS, FL 33071-6452
Phone number: 954-789-6852