ELLIE RENEE HENRIQUEZ

FORT WALTON BEACH, FL
NPI1730068172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW25277)
Enumeration Date2025-08-29
Last Update Date2025-08-29
Business Address
ELLIE RENEE HENRIQUEZ LCSW
702 RUSSELL BLVD
FORT WALTON BEACH, FL 32547-3131
Phone number: 850-261-5374
Mailing Address
ELLIE RENEE HENRIQUEZ LCSW
702 RUSSELL BLVD
FORT WALTON BEACH, FL 32547-3131
Phone number: