James Tickal, LCSW

NPI #1093301608 in Maitland, Florida

Provider Information

NPI Number
1093301608
Entity Type
Individual
Name
James Tickal, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 17, 2020
Last Updated
Jan 18, 2021

Practice Location

Address
1555 N MAITLAND AVE
State
Florida
ZIP Code
32751-3325
Phone
(407) 986-7831

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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