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1629635073
JOSE MIGUEL DE LA CRUZ
ORLANDO, FL
NPI
1629635073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 14950)
Enumeration Date
2019-05-21
Last Update Date
2020-05-29
Business Address
Mr. JOSE MIGUEL DE LA CRUZ LCSW
6900 TAVISTOCK LAKES BLVD STE 400
ORLANDO, FL 32827-7593
Phone number: 407-801-2191
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Mailing Address
Mr. JOSE MIGUEL DE LA CRUZ LCSW
11901 LANDING POINT LOOP
ORLANDO, FL 32832-5904
Phone number: 407-801-2191
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