Samantha Illanez, MSW

NPI #1073258547 in Lake Mary, Florida

Provider Information

NPI Number
1073258547
Entity Type
Individual
Name
Samantha Illanez, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
MSW
Enumeration Date
Apr 29, 2022
Last Updated
Nov 5, 2025

Practice Location

Address
380 RINEHART RD
State
Florida
ZIP Code
32746-2551
Phone
(321) 247-8866

Specialties & Taxonomy Codes

Specialty
Social Worker

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